Individual provider Active NPI

Nathan C Meloy, D.O.

  • Interventional Pain Medicine Physician
  • Bettendorf, IA
National Provider Identifier
1598762841
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
51723-21 Issued in WI
Practice address
2535 Maplecrest Rd Ste 12
Bettendorf, IA 52722-2799
Phone
(563) 421-3555
NPI assigned
Jul 1, 2005
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4999459-11MedicaidMI
5207874-11MedicaidMI
556315665OtherMIBLUE CROSS BLUE SHIELD

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131015001608 IA Practitioner - Pain ManagementPractitioner - Anesthesiology 0345298683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Practice addresses (Care Compare)

2535 Maplecrest Rd
Suite 12
Bettendorf, IA 52722-2799
Phone (563) 421-3555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.97 of 100Reported as individual
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

OrganizationSpecialtyStatusNew patients
Genesis Health System Interventional Pain Medicine CurrentSince Oct 1, 2019 Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Genesis Health System Past Accepting new patients
Valley Pain Care Centers LTD Pain Medicine PastSince Mar 31, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.