Individual provider Active NPI

Gayle F Melnick, DO

  • Pediatrics Physician
  • Chillicothe, OH
National Provider Identifier
1467484485
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34004014M Issued in OH
Practice address
4461 State Route 159 Ste a
Chillicothe, OH 45601-6000
Phone
(740) 779-4900
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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 34004014M OH Primary

Addresses

Primary practice location

4461 State Route 159 Ste a
Chillicothe, OH 45601-6000

Mailing address

4461 State Route 159 Ste a
Chillicothe, OH 45601-6000
Phone (740) 779-4900

Other identifiers 1

IdentifierTypeStateIssuer
0666211MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.residency@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170907003542 OH Practitioner - Pediatric Medicine 2365346608 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34004014MOHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Pediatrics CurrentSince Apr 1, 2021 Accepting new patients

Locations

4461 State Route 159
Ste A
Chillicothe, OH 45601
Phone (740) 774-9923

600 N Pickaway St
Ste 300
Circleville, OH 43113
Phone (740) 207-4202

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Organizations & group practices 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1467484485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 STATE ROUTE 159 STE A",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456016000",
            "telephone_number": "740-779-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 STATE ROUTE 159 STE A",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456016000",
            "telephone_number": "740-779-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNICK",
        "first_name": "GAYLE",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34004014M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0666211",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.residency@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4461 State Route 159 Ste A",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456016000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.