NPIMap

Individual provider Active NPI

Melanie Sandoval Orencia, M.D.

  • Family Medicine Physician
  • Milton, WA
National Provider Identifier
1467666362
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00047522 Issued in WA
Practice address
2748 Milton Way Ste 101
Milton, WA 98354-9379
Phone
(253) 922-5262
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00047522 WA Primary

Addresses

Primary practice location

2748 Milton Way Ste 101
Milton, WA 98354-9379

Mailing address

2748 Milton Way Ste 101
Milton, WA 98354-9379
Phone (253) 922-5262

Other identifiers 4

IdentifierTypeStateIssuer
8867415OtherWAMEDICARE
8488876MedicaidWA
1044352MedicaidWA
0224036OtherWAL&I

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address morencia15797@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070911000278 WA Practitioner - Family Practice 6507959228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

2748 Milton Way
Suite 101
Milton, WA 98354-9379
Phone (253) 922-5262

Hospital & facility affiliations

  • Signature Healthcare at Home Home health agency, Federal Way, WA, CCN 507110
  • CHI Franciscan Health at Home Home health agency, University Place, WA, CCN 507124
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141
  • St Anthony Hospital Hospital, Gig Harbor, WA, CCN 500151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00047522WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Mar 15, 2013 Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Mar 15, 2013 Accepting new patients
Franciscan Medical Group Family Medicine Past Accepting new patients

Locations

3021 Griffin Ave
Enumclaw, WA 98022
Phone (253) 833-6241

6040 20th St E
#A
Fife, WA 98424
Phone (253) 922-5262

2748 Milton Way
Ste 101
Milton, WA 98354
Phone (253) 922-5262

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: morencia15797@fhsce.catholichealth.net

Organizations & group practices 4

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 9

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1467666362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 MILTON WAY STE 101",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983549379",
            "telephone_number": "253-922-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 MILTON WAY STE 101",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983549379",
            "telephone_number": "253-922-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORENCIA",
        "first_name": "MELANIE",
        "middle_name": "SANDOVAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00047522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8867415",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8488876",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1044352",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0224036",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "morencia15797@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2748 Milton Way Ste 101",
            "city": "Milton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983549379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milton, WA

Sources for this page

Verify at the official NPI Registry.