Active NPI
Nathan C Meloy, D.O.
- Interventional Pain Medicine Physician
- Bettendorf, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 51723-21
- Practice address
- 2535 Maplecrest Rd Ste 12
Bettendorf, IA 52722-2799 - Phone
- (563) 421-3555
- NPI assigned
- Jul 1, 2005
- Last updated
- May 21, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036112357 | IL | |
| Interventional Pain Medicine Physician | 208VP0014X | 5101017187 | MI | |
| Interventional Pain Medicine Physician | 208VP0014X | 51723-21 | WI | Primary |
Addresses
Primary practice location
2535 Maplecrest Rd Ste 12
Bettendorf, IA 52722-2799
Mailing address
2535 Maplecrest Rd Ste 12
Bettendorf, IA 52722-2799
Phone (563) 421-3555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4999459-11 | Medicaid | MI | |
| 5207874-11 | Medicaid | MI | |
| 556315665 | Other | MI | BLUE CROSS BLUE SHIELD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nathan.meloy@direct.genesishealth.com | Direct | |
| Direct Messaging Address | nathan.meloy@direct.genesishealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2535 Maplecrest Rd
Suite 12
Bettendorf, IA 52722-2799
Phone (563) 421-3555
Hospital & facility affiliations
- Genesis Medical Center-Davenport
- Mercyone Genesis Dewitt Medical Center
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Genesis Medical Center, Aledo
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.97 of 100
- Quality
- 0
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 82.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Interventional Pain Medicine | Current | Accepting new patients |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Past | Accepting new patients | |
| Valley Pain Care Centers LTD | Pain Medicine | Past | Accepting new patients |
| Tri-County Pain Consultants PC | Pain Medicine | Past | Accepting new patients |
| Anesthesia Services of the Fox Valley SC | Past | Accepting new patients | |
| Anesthesia Associates, LTD | Pain Medicine | Past | Accepting new patients |
Locations
2535 Maplecrest Rd
Ste 12
Bettendorf, IA 52722
Phone (563) 421-3555
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191
4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667
Interoperability endpoints
- nathan.meloy@direct.genesishealth.com
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.
-
- Surgery Physician
- Davenport, IA
- NPI 1528616901
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
Interventional Pain Medicine
-
- Pain Medicine (Anesthesiology) Physician
- Aurora, IL
- NPI 1952308223
-
- Anesthesiology Physician
- Oshkosh, WI
- NPI 1750385597
-
- Pain Medicine (Anesthesiology) Physician
- Novi, MI
- NPI 1578529681
-
- Pain Medicine Physician
- Dekalb, IL
- NPI 1194722058
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center Dewitt
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
dba Genesis Medical Center Davenport
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
dba MercyOne Genesis Aledo Medical Center
- Critical Access Hospital
- Aledo, IL
- NPI 1225380967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1598762841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 MAPLECREST RD STE 12",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527222799",
"telephone_number": "563-421-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 MAPLECREST RD STE 12",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527222799",
"telephone_number": "563-421-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELOY",
"first_name": "NATHAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036112357",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MI",
"license": "5101017187",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "WI",
"license": "51723-21",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4999459-11",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5207874-11",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "556315665",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nathan.meloy@direct.genesishealth.com",
"affiliation": "N",
"endpointDescription": "Genesis Health System Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "2535 Maplecrest Rd Ste 12",
"city": "Bettendorf",
"state": "IA",
"country_code": "US",
"postal_code": "527222799",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nathan.meloy@direct.genesishealth.com",
"affiliation": "N",
"endpointDescription": "Genesis Health System Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "2535 Maplecrest Rd Ste 12",
"city": "Bettendorf",
"state": "IA",
"country_code": "US",
"postal_code": "527222799",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.