Individual provider Active NPI

Isaias E. Melo-Lizardo, MD

  • Family Medicine Physician
  • Wilmington, NC
National Provider Identifier
1477579514
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9600820 Issued in NC
Practice address
917 N 4TH St
Wilmington, NC 28401-3450
Phone
(910) 202-8656
Fax
(910) 202-8680
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 9600820 NC Primary

Addresses

Primary practice location

917 N 4TH St
Wilmington, NC 28401-3450

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Other practice location 1

6905 Knightdale Blvd Ste 106
Knightdale, NC 27545-6506
Phone (919) 261-8760

Other identifiers 2

IdentifierTypeStateIssuer
9600820OtherNCNORTH CAROLINA MEDICAL BOARD LICENSE
5904314MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address imelolizardo224730@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20060922000470 NC Practitioner - Family Practice 3173528247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Hanover Community Health Center IncorporatedGroup PAC ID 1153220215, 24 clinicians

Practice addresses (Care Compare)

240 Calhoun Dr
Wilmington, NC 28412-6202
Phone (910) 202-8656

925 N 4TH St
Wilmington, NC 28401-3450

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Family Medicine Current Accepting new patients
New Hanover Community Health Center Incorporated CurrentSince Jun 26, 2025 Accepting new patients
New Hanover Community Health Center Incorporated CurrentSince Jun 26, 2025 Accepting new patients
Unc Physicians Network LLC Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Cabarrus Family Medicine Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

6905 Knightdale Blvd
Ste 106
Knightdale, NC 27545
Phone (919) 261-8760

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

4551 New Bern Ave
Ste 100
Raleigh, NC 27610
Phone (984) 215-4950

240 Calhoun Dr
Wilmington, NC 28412
Phone (910) 202-8656

917 N 4th St
Wilmington, NC 28401
Phone (910) 202-8656

925 N 4th St
Wilmington, NC 28401
Phone (910) 254-4690

Interoperability endpoints

  • Direct secure messaging: imelolizardo224730@direct.unc.nchie.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c32cb33f-ec61-4f25-9140-0b9b174fe4db/

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1477579514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 N 4TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013450",
            "telephone_number": "910-202-8656",
            "fax_number": "910-202-8680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6905 Knightdale Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Knightdale",
            "state": "NC",
            "postal_code": "275456506",
            "country_code": "US",
            "telephone_number": "919-261-8760",
            "fax_number": "919-261-8765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELO-LIZARDO",
        "first_name": "ISAIAS",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9600820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD LICENSE",
            "identifier": "9600820",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904314",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imelolizardo224730@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "6905 Knightdale Blvd Ste 106",
            "city": "Knightdale",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275456506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.