NPIMap

Individual provider Active NPI

Roshan Thadani Melvani, M.D.

  • Orthopaedic Surgery Physician
  • Victorville, CA
National Provider Identifier
1598184475
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A168004 Issued in CA
Practice address
12677 Hesperia Rd Ste 140
Victorville, CA 92395-7735
Phone
(760) 962-1150
Fax
(760) 962-1155
NPI assigned
Apr 8, 2014
Last updated
Jun 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X ME143651 FL
Orthopaedic Surgery Physician 207X00000X 0101266844 VA
Orthopaedic Surgery Physician 207X00000X A168004 CA Primary

Addresses

Primary practice location

12677 Hesperia Rd Ste 140
Victorville, CA 92395-7735

Mailing address

12677 Hesperia Rd Ste 140
Victorville, CA 92395-7735
Phone (760) 962-1150

Other practice location 1

201 E University Pkwy
Dept of Orthopaedic Surgery
Baltimore, MD 21218-2829
Phone (410) 554-2857

Other practice location 2

2445 Army Navy Dr
Arlington, VA 22206-2905
Phone (703) 892-6500

Other practice location 3

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0915
Phone (813) 978-9700

Other identifiers 1

IdentifierTypeStateIssuer
A168004OtherCACA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190731003580 DC Practitioner - Orthopedic Surgery 0648506410 Reassigns benefits to 1 organization
I20210715003066 CA Practitioner - Orthopedic Surgery 0648506410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Missouri, Kansas City, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12677 Hesperia Rd
Suite 140
Victorville, CA 92395-7735
Phone (760) 962-1150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement16
Knee replacement37
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A168004CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Anderson Clinic LLC Orthopaedic Surgery CurrentSince Jul 29, 2019 Accepting new patients
Veena S Katikineni MD Inc a Professional Medical Corporation Single Specialty CurrentSince Dec 21, 2021 Accepting new patients
Anderson Clinic LLC Single Specialty CurrentSince Jul 29, 2019 Accepting new patients
Roshan T Melvani MD Inc Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Bear Valley Community Health Care District Single Specialty Past Accepting new patients
University Community Hospital, Inc Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

12677 Hesperia Rd
Ste 140
Victorville, CA 92395
Phone (442) 242-7334

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

2445 Army Navy Dr
Arlington, VA 22206

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rmelvani174484@direct.tgh.org

Organizations & group practices 9

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 5

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": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1598184475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD STE 140",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957735",
            "telephone_number": "760-962-1150",
            "fax_number": "760-962-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD STE 140",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957735",
            "telephone_number": "760-962-1150",
            "fax_number": "760-962-1155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E University Pkwy",
            "address_2": "Dept of Orthopaedic Surgery",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212182829",
            "country_code": "US",
            "telephone_number": "410-554-2857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2445 Army Navy Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222062905",
            "country_code": "US",
            "telephone_number": "703-892-6500",
            "fax_number": "703-769-8486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13020 N Telecom Pkwy",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370915",
            "country_code": "US",
            "telephone_number": "813-978-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELVANI",
        "first_name": "ROSHAN",
        "middle_name": "THADANI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME143651",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101266844",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A168004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A168004",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.