Individual provider Active NPI

Amelia Josephine Mellor, DO

  • Internal Medicine Physician
  • Kingwood, TX
National Provider Identifier
1417659020
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
W5453 Issued in TX
Practice address
22751 Professional Dr Ste 120
Kingwood, TX 77339-6022
Phone
(281) 312-4838
NPI assigned
Mar 20, 2023
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X W5453 TX Primary

Addresses

Primary practice location

22751 Professional Dr Ste 120
Kingwood, TX 77339-6022

Mailing address

22751 Professional Dr Ste 120
Kingwood, TX 77339-6022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230614002432 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7012375678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
W5453TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgery of Kingwood, PLLC CurrentSince Jul 1, 2026 Accepting new patients
Las Palmas del Sol Internal Medicine, PLLC Internal Medicine CurrentSince Mar 26, 2023 Accepting new patients
Specialty Associates of West Houston PLLC Internal Medicine CurrentSince Jul 1, 2026 Accepting new patients

Locations

10175 Gateway Blvd W
Ste 140
El Paso, TX 79925
Phone (915) 218-8828

10175 Gateway Blvd W
Ste 300
El Paso, TX 79925
Phone (915) 218-8828

22751 Professional Dr
Ste 120
Kingwood, TX 77339
Phone (281) 312-4838

Interoperability endpoints

  • Direct secure messaging: amelia.mellor@hca8.eclinicaldirectplus.com

Organizations & group practices 3

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1417659020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22751 PROFESSIONAL DR STE 120",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22751 PROFESSIONAL DR STE 120",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396022",
            "telephone_number": "281-312-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOR",
        "first_name": "AMELIA",
        "middle_name": "JOSEPHINE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "W5453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.