Individual provider Active NPI

Jonathan Spencer Mellen, M.D.

  • Gastroenterology Physician
  • Phoenix, AZ
National Provider Identifier
1609919471
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
44619 Issued in AZ
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110930000518 AZ Practitioner - GastroenterologyPractitioner - Internal Medicine 3375715014 Reassigns benefits to 3 organizations
I20231212003467 AK Practitioner - Gastroenterology 3375715014 Reassigns benefits to 1 organization
I20241025001945 TX Practitioner - Gastroenterology 3375715014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians
Alaska Gi Associates LLCGroup PAC ID 8426543323, 6 clinicians

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

ProcedureNumber of procedures
Colonoscopy158
Upper gastrointestinal (GI) endoscopy for acid reflux209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210986AKMDGastroenterology Physician
44619AZMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Feb 1, 2023 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 CurrentSince Jan 1, 2018 Accepting new patients
Yuma Regional Medical Center Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Alaska Gi Associates LLC Gastroenterology CurrentSince Dec 1, 2025 Accepting new patients
Northern Arizona Healthcare Corporation Internal Medicine Current Accepting new patients
Tanana Chiefs Conference CurrentSince Aug 11, 2024 Accepting new patients
Tanana Chiefs Conference CurrentSince Aug 11, 2024 Accepting new patients
Scottsdale Healthcare Corp CurrentSince Nov 1, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Sources for this page

Verify at the official NPI Registry.