Individual provider Active NPI

Melinda C Orourke, MD

  • Ophthalmology Physician
  • Wheat Ridge, CO
National Provider Identifier
1386646370
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
26923 Issued in CO
Practice address
4855 Ward Rd Ste 500
Wheat Ridge, CO 80033-1953
Phone
(303) 467-0500
Fax
(303) 467-0502
NPI assigned
Aug 10, 2005
Last updated
Aug 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 26923 CO Primary

Addresses

Primary practice location

4855 Ward Rd Ste 500
Wheat Ridge, CO 80033-1953

Mailing address

4855 Ward Rd Ste 500
Wheat Ridge, CO 80033-1953
Phone (303) 467-0500

Other identifiers 9

IdentifierTypeStateIssuer
180014591OtherRAILROAD MEDICARE
4124628OtherAETNA PPO
840787518A003OtherTRICARE
OR87314OtherBLUE CROSS/BLUE SHIELD
0800409OtherEVERCARE
2005903OtherAETNA HMO
840787518004OtherROCKY MTN HEALTH PLAN
802215OtherUNITED HEALTHCARE
920666OtherEYESPECIALISTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26923COMDOphthalmology Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1386646370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 WARD RD STE 500",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331953",
            "telephone_number": "303-467-0500",
            "fax_number": "303-467-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 WARD RD STE 500",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331953",
            "telephone_number": "303-467-0500",
            "fax_number": "303-467-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OROURKE",
        "first_name": "MELINDA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "26923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180014591",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4124628",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "840787518A003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "OR87314",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "0800409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2005903",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MTN HEALTH PLAN",
            "identifier": "840787518004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "802215",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYESPECIALISTS",
            "identifier": "920666",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.