Active NPI
Maneeb NMN Mellem, MD
- Internal Medicine Physician
- Sherman, TX
National Provider Identifier
1447242771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G1953
- Practice address
- 600 N Highland Ave
Ste 101
Sherman, TX 75092-5601 - Phone
- (903) 892-8112
- Fax
- (903) 893-8637
- NPI assigned
- Aug 23, 2005
- Last updated
- Jul 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G1953 | TX | Primary |
Addresses
Primary practice location
600 N Highland Ave
Ste 101
Sherman, TX 75092-5601
Mailing address
600 N Highland Ave
Ste 101
Sherman, TX 75092-5601
Phone (903) 892-8112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00041364 | Other | RAILROAD MEDICARE | |
| 100037403 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1953 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillcrest Healthcare Services Inc | Past | Accepting new patients | |
| Philip W Pitts M D PA | Past | Accepting new patients | |
| Cornerstone Services PC | Internal Medicine | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Sherman, TX
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- Sherman, TX
- NPI 1164463576
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Sherman, TX
- NPI 1295958528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1447242771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N HIGHLAND AVE",
"address_2": "STE 101",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750925601",
"telephone_number": "903-892-8112",
"fax_number": "903-893-8637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N HIGHLAND AVE",
"address_2": "STE 101",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750925601",
"telephone_number": "903-892-8112",
"fax_number": "903-893-8637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLEM",
"first_name": "MANEEB",
"middle_name": "NMN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "G1953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00041364",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100037403",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.