Active NPI
Melencio Chan Ventura Jr., MD
- Pediatrics Physician
- York, PA
National Provider Identifier
1427144203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD052617L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014825400002 | Medicaid | PA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Pinnacle Health Regional Physicians | Current | 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
- 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.
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1013441690
-
- Internal Medicine Physician
- Columbia, PA
- NPI 1790205938
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1467408450
-
- Hospitalist Physician
- Bel Air, MD
- NPI 1497801419
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.