Individual provider Active NPI

Tristan Mele, DO

  • Orthopaedic Surgery Physician
  • Apple Valley, CA
National Provider Identifier
1568800431
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
11732540-1204 Issued in UT
Practice address
18523 Corwin Rd Ste a
Apple Valley, CA 92307-2300
Phone
(909) 712-2764
NPI assigned
Jun 12, 2013
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 11732540-1204 UT Primary
Orthopaedic Surgery Physician 207X00000X 20A24049 CA

Addresses

Primary practice location

18523 Corwin Rd Ste a
Apple Valley, CA 92307-2300

Mailing address

PO Box 741729
Atlanta, GA 30374-1729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC, WY, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180530000082 PA Practitioner - Orthopedic Surgery 0941565691 Reassigns benefits to 1 organization
I20181219000316 NC Practitioner - Orthopedic Surgery 0941565691 Reassigns benefits to 1 organization
I20250428004063 WY Practitioner - Orthopedic Surgery 0941565691 Reassigns benefits to 2 organizations
I20251226001068 CA Practitioner - Orthopedic Surgery 0941565691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul J Wisniewski DO IncGroup PAC ID 5092240606, 19 clinicians

Practice addresses (Care Compare)

1180 College Dr
Rock Springs, WY 82901-5863
Phone (307) 352-8125

18523 Corwin Rd
Suite a
Apple Valley, CA 92307-2300
Phone (407) 335-6950

33404 James Stewart Cir
Yucaipa, CA 92399-6437
Phone (407) 335-6950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.44 of 100Reported as group
Quality
88.05
Promoting interoperability
98
Improvement activities
40
Cost
75.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A24049CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc Multi-Specialty Current Accepting new patients
Vidant Medical Group LLC Multi-Specialty CurrentSince Nov 19, 2018 Accepting new patients
Memorial Hospital of Sweetwater County Multi-Specialty CurrentSince Apr 14, 2025 Accepting new patients
Upmc Altoona Regional Health Services, Inc Multi-Specialty CurrentSince Jul 1, 2018 Accepting new patients
Paul J Wisniewski DO Inc Multi-Specialty CurrentSince Oct 13, 2025 Accepting new patients
Memorial Hospital of Sweetwater County Multi-Specialty Past Accepting new patients
Mountainstar Cardiovascular Services LLC Multi-Specialty PastSince Sep 1, 2020 Accepting new patients

Locations

18523 Corwin Rd
Ste A
Apple Valley, CA 92307
Phone (760) 946-3876

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

800 S Logan Blvd
Ste 2200
Hollidaysburg, PA 16648
Phone (814) 889-3600

1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1568800431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741729",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD STE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072300",
            "telephone_number": "909-712-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELE",
        "first_name": "TRISTAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "11732540-1204",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A24049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.