Individual provider Active NPI

Kyle Laing Mellinger, MD

  • Internal Medicine Physician
  • Englewood, CO
National Provider Identifier
1497335178
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0074916 Issued in CO
Practice address
180 E Hampden Ave
Englewood, CO 80113-2506
Phone
(303) 789-4968
NPI assigned
Apr 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0074916 CO Primary
Pediatrics Physician 208000000X DR.0074916 CO

Addresses

Primary practice location

180 E Hampden Ave
Englewood, CO 80113-2506

Mailing address

180 E Hampden Ave
Englewood, CO 80113-2506
Phone (303) 789-4968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250912000537 CO Practitioner - Internal Medicine 8325457146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bella Natural Womens CareGroup PAC ID 1052531787, 18 clinicians

Practice addresses (Care Compare)

180 E Hampden Ave
Suite 100
Englewood, CO 80113-2517
Phone (303) 789-4968

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Natural Womens Care Internal Medicine CurrentSince Jun 30, 2025 Accepting new patients
Bella Natural Womens Care CurrentSince Jun 30, 2025 Accepting new patients

Locations

3894 Olive St
Denver, CO 80207
Phone (303) 695-7873

180 E Hampden Ave
Englewood, CO 80113
Phone (303) 789-4968

180 E Hampden Ave
Ste 100
Englewood, CO 80113
Phone (303) 789-4968

Interoperability endpoints

  • Direct secure messaging: kyle.mellinger.1@9345.direct.athenahealth.com

Organizations & group practices 2

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": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1497335178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132506",
            "telephone_number": "303-789-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132506",
            "telephone_number": "303-789-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLINGER",
        "first_name": "KYLE",
        "middle_name": "LAING",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0074916",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0074916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.