Individual provider Active NPI

Raun Melmed, MD

  • Developmental - Behavioral Pediatrics Physician
  • Scottsdale, AZ
National Provider Identifier
1407876808
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
13127 Issued in AZ
Practice address
4848 E Cactus Rd Ste 940
Scottsdale, AZ 85254-4164
Phone
(480) 443-0050
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 13127 AZ Primary

Addresses

Primary practice location

4848 E Cactus Rd Ste 940
Scottsdale, AZ 85254-4164

Mailing address

12400 N Tatum Blvd Unit 2024
Phoenix, AZ 85032-0034
Phone (480) 205-7903

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 7, 2016 through Dec 7, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13127AZMDDevelopmental - Behavioral Pediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1407876808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 N TATUM BLVD UNIT 2024",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850320034",
            "telephone_number": "480-205-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 E CACTUS RD STE 940",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544164",
            "telephone_number": "480-443-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELMED",
        "first_name": "RAUN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "AZ",
            "license": "13127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.