Active NPI
Arkady Melikyan, MD
- Neurology Physician
- Shiloh, IL
National Provider Identifier
1518255264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036136608
- Practice address
- 1116 Hartman LN
Shiloh, IL 62221-8014 - Phone
- (618) 641-9011
- Fax
- (618) 641-9017
- NPI assigned
- Jul 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036136608 | IL | Primary |
Addresses
Primary practice location
1116 Hartman LN
Shiloh, IL 62221-8014
Mailing address
1116 Hartman LN
Shiloh, IL 62221-8014
Phone (618) 641-9011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036136608 | IL | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1518255264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 HARTMAN LN",
"city": "SHILOH",
"state": "IL",
"postal_code": "622218014",
"telephone_number": "618-641-9011",
"fax_number": "618-641-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 HARTMAN LN",
"city": "SHILOH",
"state": "IL",
"postal_code": "622218014",
"telephone_number": "618-641-9011",
"fax_number": "618-641-9017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELIKYAN",
"first_name": "ARKADY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-15",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036136608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shiloh, IL
- Molly McGinnis, RDN
- Kilauren Carol McMahon, PA
- Griffin McQuality, DC
- Nathan John Meckel, DC
- Ashley N Mehochko, MSN, APRN, FNP-BC
- Mercy Pharmacy Services LLC
- Metro East Dermatology & Skin Cancer Center LLC
- Metro-East Services, Inc. (Memorial Hospital East)
- Mitas LLC (Axis Spine and Orthopedics)
- David L Mitchell, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.