Individual provider Active NPI

David E Melbye, M.D.

  • Pediatrics Physician
  • Fox Point, WI
National Provider Identifier
1487640918
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
46303 Issued in WI
Practice address
7950 N Port Washington Rd
Fox Point, WI 53217-3131
Phone
(414) 228-0099
Fax
(414) 540-1065
NPI assigned
Sep 20, 2005
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 46303 WI Primary

Addresses

Primary practice location

7950 N Port Washington Rd
Fox Point, WI 53217-3131

Mailing address

7950 N Port Washington Rd
Fox Point, WI 53217-3131
Phone (414) 228-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050329000475 WI Practitioner - Pediatric Medicine 8921054370 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Medical Group Inc Pediatrics CurrentSince Aug 31, 2011 Accepting new patients
Children's Medical Group Pediatrics PastSince Aug 31, 2011 Accepting new patients
The Medical College of Wisconsin, Inc. Past Accepting new patients

Locations

6373 N Jean Nicolet Rd
Ste 100
Glendale, WI 53217
Phone (414) 228-0099

11035 W Forest Home Ave
Hales Corners, WI 53130
Phone (414) 425-5660

9000 W Wisconsin Ave
#958
Wauwatosa, WI 53226
Phone (414) 266-7615

Interoperability endpoints

  • Direct secure messaging: dmelbye12266@direct.chw.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1487640918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 N PORT WASHINGTON RD",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532173131",
            "telephone_number": "414-228-0099",
            "fax_number": "414-540-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 N PORT WASHINGTON RD",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532173131",
            "telephone_number": "414-228-0099",
            "fax_number": "414-540-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELBYE",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "46303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fox Point, WI

Sources for this page

Verify at the official NPI Registry.