Individual provider Active NPI

Melinda Faye Somoza, M.D.

  • Family Medicine Physician
  • Portsmouth, OH
National Provider Identifier
1407868797
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32242 Issued in AZ
Practice address
840 Gallia St
Portsmouth, OH 45662-4232
Phone
(740) 353-3236
Fax
(740) 353-4803
NPI assigned
Aug 13, 2006
Last updated
Apr 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32242 AZ Primary

Addresses

Primary practice location

840 Gallia St
Portsmouth, OH 45662-4232

Mailing address

840 Gallia St
Portsmouth, OH 45662-4232
Phone (740) 353-3236

Other identifiers 1

IdentifierTypeStateIssuer
837817MedicaidAZ

Other names 1

  • Dr. Melinda Bowman Somoza Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180307002310 AZ Order and Referring Only - Family PracticePractitioner - Family Practice 6901893148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307NMMDOptometrist
32242AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Clara Health Center PastSince Jan 19, 2012 Accepting new patients
Cochiti Health Clinic Past Accepting new patients
Santo Domingo Health Clinic Past Accepting new patients
Winslow Indian Health Care Center, Inc Past Accepting new patients
San Felipe Health Clinic Past Accepting new patients

Organizations & group practices 5

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1407868797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624232",
            "telephone_number": "740-353-3236",
            "fax_number": "740-353-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624232",
            "telephone_number": "740-353-3236",
            "fax_number": "740-353-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMOZA",
        "first_name": "MELINDA",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "32242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "837817",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "SOMOZA",
            "middle_name": "BOWMAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.