Individual provider Active NPI

Melhem A Imad, M.D.

  • Pulmonary Disease Physician
  • Chesapeake, VA
National Provider Identifier
1417908138
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101241469 Issued in VA
Practice address
113 Gainsborough SQ Ste 400
Chesapeake, VA 23320-1714
Phone
(757) 842-4499
Fax
(757) 842-4490
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D71226 MD
Internal Medicine Physician 207R00000X M0439 TX
Pulmonary Disease Physician 207RP1001X 0101241469 VA Primary

Addresses

Primary practice location

113 Gainsborough SQ Ste 400
Chesapeake, VA 23320-1714

Mailing address

PO Box 11314
Belfast, ME 04915-4004
Phone (757) 842-4481

Other practice location 1

1008 First Colonial Rd
Virginia Beach, VA 23454-3071
Phone (757) 481-2515

Other practice location 2

1138 N Road St
Elizabeth City, NC 27909-3353
Phone (252) 335-4890

Other practice location 3

5116 N Croatan Hwy
Kitty Hawk, NC 27949-3988
Phone (252) 255-5234

Other practice location 4

800 Battlefield Blvd N
Chesapeake, VA 23320-4802
Phone (757) 312-3085

Other practice location 5

111 Medical Pkwy Fl 2
Chesapeake, VA 23320-0302
Phone (757) 917-5716

Other identifiers 2

IdentifierTypeStateIssuer
1417908138MedicaidVA
036752400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070829000803 VA Practitioner - Pulmonary DiseasePractitioner - Other (Physician)Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7012945454 Reassigns benefits to 2 organizations
I20190505000006 NC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 7012945454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians

Practice addresses (Care Compare)

111 Medical Pkwy
FL 2
Chesapeake, VA 23320-0302
Phone (757) 312-4047

111 Mill Creek Pkwy
Suite 300
Chesapeake, VA 23323-1098
Phone (757) 558-8210

113 Gainsborough SQ
Chesapeake, VA 23320-1714

300 Medical Pkwy
Chesapeake, VA 23320-4985

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6102

744 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-3132

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109
  • The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0439TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Jun 3, 2016 Accepting new patients
Bayview Physician Services, PC Internal Medicine CurrentSince Apr 15, 2012 Accepting new patients
Chesapeake Regional Medical Group Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
Bayview Physician Services, PC CurrentSince Apr 15, 2012 Accepting new patients
Chesapeake Regional Medical Group Pulmonary Disease CurrentSince Jun 3, 2016 Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients
Bayview Physician Services, PC Past Accepting new patients

Locations

1138 N Road St
Elizabeth Cty, NC 27909
Phone (252) 335-4890

5116 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 255-5234

534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621

113 Gainsborough Sq
Ste 400
Chesapeake, VA 23320
Phone (757) 436-0167

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

111 Medical Pkwy
Fl 2
Chesapeake, VA 23320
Phone (757) 312-4047

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

800 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-3085

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

1168 First Colonial Rd
Ste 101
Virginia Beach, VA 23454
Phone (757) 481-2515

1008 First Colonial Rd
Ste 103
Virginia Beach, VA 23454
Phone (757) 481-2515

1975 Glenn Mitchell Dr
Ste 302
Virginia Beach, VA 23456
Phone (757) 481-2515

Interoperability endpoints

  • Direct secure messaging: melhem.imad@bayview.eclinicaldirectplus.com
  • Direct secure messaging: melhem.imad.2@5072.direct.athenahealth.com

Organizations & group practices 7

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1417908138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11314",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154004",
            "telephone_number": "757-842-4481",
            "fax_number": "757-686-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 GAINSBOROUGH SQ STE 400",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201714",
            "telephone_number": "757-842-4499",
            "fax_number": "757-842-4490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1008 First Colonial Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543071",
            "country_code": "US",
            "telephone_number": "757-481-2515",
            "fax_number": "757-481-4064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1138 N Road St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093353",
            "country_code": "US",
            "telephone_number": "252-335-4890",
            "fax_number": "252-335-7836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5116 N Croatan Hwy",
            "address_purpose": "LOCATION",
            "city": "Kitty Hawk",
            "state": "NC",
            "postal_code": "279493988",
            "country_code": "US",
            "telephone_number": "252-255-5234",
            "fax_number": "252-255-5236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Battlefield Blvd N",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204802",
            "country_code": "US",
            "telephone_number": "757-312-3085",
            "fax_number": "757-312-3076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Medical Pkwy Fl 2",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233200302",
            "country_code": "US",
            "telephone_number": "757-917-5716",
            "fax_number": "757-524-4396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMAD",
        "first_name": "MELHEM",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D71226",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0439",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101241469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417908138",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036752400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.