Swathanthra Kumar Melekote, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

043564 Issued in CT

Practice address

130 Hartford Rd
Manchester, CT 06040-5921

Phone

(860) 647-8282

Fax

(860) 647-8399

NPI assigned

Aug 23, 2005

Last updated

Jan 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smelekote@ctproviderdirect.org
• Direct secure messaging: swathanthra.melekote.1@30283.direct.athenahealth.com

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.

• Manchester Pediatric Associates LLC

  • Pediatrics Physician
  • South Windsor, CT
  • NPI 1053612911
  NPD Authorized official
• Eastern Connecticut Medical Professionals Foundation Inc

  dba Eastern CT Medical Professionals

  • Family Medicine Physician
  • Manchester, CT
  • NPI 1770557712
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1629061965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HARTFORD RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405921",
            "telephone_number": "860-647-8282",
            "fax_number": "860-647-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HARTFORD RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405921",
            "telephone_number": "860-647-8282",
            "fax_number": "860-647-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELEKOTE",
        "first_name": "SWATHANTHRA",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "043564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629061965",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessenia Medina
• Jose Medina
• Mindy Medina
• Yaritza I Medina
• Caliyah Megget
• Melissa Razel, LCSW, LLC
• Mental Health and Substance Abuse Association of Greater Hartford
• Kathryn S Mercado
• Vivian Ileana Mercado, MFT
• Lena Meredith

• Pediatrics Physician in Manchester, CT
• Providers in Manchester, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.