Individual provider Active NPI

David Michael Mellman, MD

  • Diagnostic Radiology Physician
  • Winchester, VA
National Provider Identifier
1629002621
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101247031 Issued in VA
Practice address
160 Exeter Dr Ste 103
Winchester, VA 22603-8614
Phone
(540) 686-1600
Fax
(540) 686-1601
NPI assigned
Jul 10, 2006
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101247031 VA Primary

Addresses

Primary practice location

160 Exeter Dr Ste 103
Winchester, VA 22603-8614

Mailing address

PO Box 71183
Charlotte, NC 28272-1183
Phone (540) 616-1600

Other practice location 1

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0550

Other practice location 2

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, FL, NY, VA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20080109000622 MD Practitioner - Diagnostic Radiology 8527066299 Reassigns benefits to 3 organizations
I20080227000058 DC Practitioner - Diagnostic Radiology 8527066299 Reassigns benefits to 1 organization
I20080807000162 FL Practitioner - Diagnostic Radiology 8527066299 Reassigns benefits to 7 organizations
I20120814000618 NY Practitioner - Diagnostic Radiology 8527066299 Reassigns benefits to 5 organizations
I20250430003618 VA Practitioner - Diagnostic Radiology 8527066299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
University Imaging Center, LLCGroup PAC ID 2769378686, 56 clinicians
Winchester Radiologists PCGroup PAC ID 7113915281, 77 clinicians

Practice addresses (Care Compare)

12824 Broken Cypress LN
Orlando, FL 32824-4822
Phone (410) 328-3477

13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5700

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5436

2700 Healing Way
Wesley Chapel, FL 33543-5453

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7075

419 W Redwood St
Baltimore, MD 21201-1734
Phone (410) 328-3225

5 N la Plata CT
Suite 104
La Plata, MD 20646-5207
Phone (301) 539-0345

527 Masalo PL
Lake Mary, FL 32746-2223
Phone (866) 482-5419

6438 Heartland Cir
Tallahassee, FL 32312-7509
Phone (410) 328-3477

7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.84 of 100Reported as group
Quality
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41092TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Tallahassee PA Neuroradiology CurrentSince Aug 1, 2021 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince May 1, 2025 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince May 1, 2025 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince May 1, 2025 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jun 2, 2025 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Neuroradiology CurrentSince Jun 2, 2025 Accepting new patients
Warren Memorial Hospital, Inc. Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jun 2, 2025 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Dec 27, 2025 Accepting new patients
Winchester Radiologists PC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
University Imaging Center, LLC Neuroradiology CurrentSince Jun 2, 2025 Accepting new patients
Page Memorial Hospital, Inc. Current Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Apr 23, 2025 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Apr 23, 2025 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Neuroradiology CurrentSince Jun 2, 2025 Accepting new patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince Jun 24, 2024 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Neuroradiology CurrentSince Jun 2, 2025 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Neuroradiology CurrentSince Jun 2, 2025 Accepting new patients
Tallahassee Diag Imaging Ctr LTD Neuroradiology CurrentSince Aug 1, 2021 Accepting new patients
Southeast Radiology Partners LTD Diagnostic Radiology CurrentSince Mar 15, 2022 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince May 1, 2025 Accepting new patients
University Imaging Center, LLC Neuroradiology CurrentSince Jun 2, 2025 Accepting new patients
Mountain Empire Radiology Inc PC Diagnostic Radiology Past Accepting new patients
Central New York Pet LLC PastSince Sep 19, 2001 Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients
Montgomery-Community Magnetic Imaging CNTR LTD Partnership Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of South Florida, Inc. Diagnostic Radiology Past Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology Past Accepting new patients
Sheridan Radiology Services of South Florida, Inc Diagnostic Radiology Past Accepting new patients
DRS Korsower & Pion Radiology PA Diagnostic Radiology Past Accepting new patients
Medical Imaging Center LLP Past Accepting new patients
Page Memorial Hospital Inc. PastSince Jun 29, 2025 Accepting new patients

Locations (25 of 26)

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

17021 US Highway 441
Mount Dora, FL 32757
Phone (352) 323-5762

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

22 S Greene St
#S2A19
Baltimore, MD 21201
Phone (410) 328-9312

22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300

140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000

130 North St
Walton, NY 13856
Phone (607) 865-6541

120 N Commerce Ave
Ste 103230
Front Royal, VA 22630
Phone (540) 635-0800

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

9166 N Congress St
New Market, VA 22844
Phone (540) 459-1340

505 Williams Ave
Shenandoah, VA 22849
Phone (540) 652-9100

235 Medical Dr
Stanley, VA 22851
Phone (540) 778-3484

160 Exeter Dr
Ste 103
Winchester, VA 22603
Phone (541) 686-1600

220 Campus Blvd
Ste 320
Winchester, VA 22601

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dmellman1248504@direct.umm.edu

Organizations & group practices 35

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.

View all 35

Hospital & facility affiliations 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1629002621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71183",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282721183",
            "telephone_number": "540-616-1600",
            "fax_number": "540-686-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 EXETER DR STE 103",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226038614",
            "telephone_number": "540-686-1600",
            "fax_number": "540-686-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Andes Rd",
            "address_purpose": "LOCATION",
            "city": "Delhi",
            "state": "NY",
            "postal_code": "13753",
            "country_code": "US",
            "telephone_number": "607-746-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Atwell Rd",
            "address_purpose": "LOCATION",
            "city": "Cooperstown",
            "state": "NY",
            "postal_code": "13326",
            "country_code": "US",
            "telephone_number": "607-547-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLMAN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101247031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.