Active NPI
Jonathan Spencer Mellen, M.D.
- Gastroenterology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 44619
- Practice address
- 9305 W Thomas Rd
Ste 478
Phoenix, AZ 85037-3375 - Phone
- (623) 236-8507
- Fax
- (623) 236-8508
- NPI assigned
- Feb 14, 2007
- Last updated
- Jun 11, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 44619 | AZ | Primary |
| Gastroenterology Physician | 207RG0100X | 210986 | AK |
Addresses
Primary practice location
9305 W Thomas Rd
Ste 478
Phoenix, AZ 85037-3375
Mailing address
9305 W Thomas Rd
Ste 478
Phoenix, AZ 85037-3375
Phone (623) 236-8507
Other practice location 1
2490 S Woodworth Loop Ste 200
Palmer, AK 99645-7410
Phone (907) 861-6315
Other practice location 2
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 773-2332
Other practice location 3
2400 S Avenue A
Yuma, AZ 85364-7170
Phone (928) 336-3213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, AK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366
1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
3190 E Meridian Park Loop
Suite 206
Wasilla, AK 99654-7422
Phone (907) 373-2544
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 158 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 209 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210986 | AK | MD | Gastroenterology Physician |
| 44619 | AZ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Mat-Su Valley III LLC | Internal Medicine | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Arizona Centers for Digestive Health LLC | Gastroenterology | Current | Accepting new patients |
| Yuma Regional Medical Center | Internal Medicine | Current | Accepting new patients |
| Alaska Gi Associates LLC | Gastroenterology | Current | Accepting new patients |
| Northern Arizona Healthcare Corporation | Internal Medicine | Current | Accepting new patients |
| Tanana Chiefs Conference | Current | Accepting new patients | |
| Tanana Chiefs Conference | Current | Accepting new patients | |
| Scottsdale Healthcare Corp | Current | Accepting new patients |
Locations
122 1st Ave
Ste 106
Fairbanks, AK 99701
2490 S Woodworth Loop
Ste 200
Palmer, AK 99645
Phone (907) 746-7747
2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000
3190 E Meridian Park Loop
Ste 206
Wasilla, AK 99654
Phone (907) 373-2544
950 E Bogard Rd
Ste 207
Wasilla, AK 99654
Phone (907) 357-9444
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
13555 W McDowell Rd
Ste 302
Goodyear, AZ 85395
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
9305 W Thomas Rd
Ste 478
Phoenix, AZ 85037
Phone (623) 236-8507
9321 W Thomas Rd
Ste 405
Phoenix, AZ 85037
Phone (623) 236-8507
10181 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 657-3400
10510 N 92nd St
Fl 2
Scottsdale, AZ 85258
Phone (480) 320-1350
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
5111 N Scottsdale Rd
Ste 108
Scottsdale, AZ 85250
Phone (480) 219-6662
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
2401 S Ave a
Yuma, AZ 85364
Interoperability endpoints
- jonathan.mellen.1@15989.direct.athenahealth.com
Organizations & group practices 11
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.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- Gastroenterology Physician
- Wasilla, AK
- NPI 1669365698
-
- Gastroenterology Physician
- Gilbert, AZ
- NPI 1568975316
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
Internal Medicine
-
dba Northern Arizona Healthcare Children's Health Center
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1992044713
-
dba Onvida Health Yuma Medical Center
- General Practice Physician
- Yuma, AZ
- NPI 1598993420
Internal Medicine
-
- Internal Medicine Physician
- Palmer, AK
- NPI 1366752560
-
- Ambulatory Surgical Clinic/Center
- Fairbanks, AK
- NPI 1871332387
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
dba Mat-Su Regional Medical Center
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1609919471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9305 W THOMAS RD",
"address_2": "STE 478",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850373375",
"telephone_number": "623-236-8507",
"fax_number": "623-236-8508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9305 W THOMAS RD",
"address_2": "STE 478",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850373375",
"telephone_number": "623-236-8507",
"fax_number": "623-236-8508"
}
],
"practiceLocations": [
{
"address_1": "2490 S Woodworth Loop Ste 200",
"address_purpose": "LOCATION",
"city": "Palmer",
"state": "AK",
"postal_code": "996457410",
"country_code": "US",
"telephone_number": "907-861-6315",
"fax_number": "907-861-6533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 N Beaver St",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860013118",
"country_code": "US",
"telephone_number": "928-773-2332",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 S Avenue A",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853647170",
"country_code": "US",
"telephone_number": "928-336-3213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELLEN",
"first_name": "JONATHAN",
"middle_name": "SPENCER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AZ",
"license": "44619",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AK",
"license": "210986",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Meliora Counseling & Wellness
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- Melissa Campbell, P.C. (Melissa Campbell, M.D.)
- Melissa Leonard PA-C Surgical Assist
- Joseph Melius, MEDICAL STUDENT
- Christopher R Mellon, DO
- Kiley Mellott, RBT
- Nathaniel Simon Mellul, DMD
- Jennifer Jo Mellum, LMHC
- A Philip Melmed, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.