Individual provider Active NPI

Melencio Chan Ventura Jr., MD

  • Pediatrics Physician
  • York, PA
National Provider Identifier
1427144203
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD052617L Issued in PA
Practice address
2860 Carol Rd
York, PA 17402-3857
Phone
(717) 757-3400
Fax
(717) 757-3702
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD052617L PA Primary

Addresses

Primary practice location

2860 Carol Rd
York, PA 17402-3857

Mailing address

2860 Carol Rd
York, PA 17402-3857
Phone (717) 757-3400

Other identifiers 1

IdentifierTypeStateIssuer
0014825400002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160510001537 PA Practitioner - Pediatric Medicine 9133285901 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients
Medlantic Healthcare Group Past Accepting new patients
Upper Chesapeake Medical Services, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

2860 Carol Rd
York, PA 17402
Phone (717) 757-3400

1232 Greensprings Dr
York, PA 17402
Phone (717) 207-4800

Interoperability endpoints

  • Direct secure messaging: mventura306488@upmc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1427144203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 CAROL RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174023857",
            "telephone_number": "717-757-3400",
            "fax_number": "717-757-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 CAROL RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174023857",
            "telephone_number": "717-757-3400",
            "fax_number": "717-757-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTURA",
        "first_name": "MELENCIO",
        "middle_name": "CHAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD052617L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014825400002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.