Active NPI
Leonid Melnikov
- Pediatrics Physician
- Knoxville, TN
National Provider Identifier
1649629411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4608
- Practice address
- 2018 Clinch Ave
Knoxville, TN 37916-2301 - Phone
- (865) 541-8266
- Fax
- (865) 541-8553
- NPI assigned
- Jun 12, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4608 | TN | Primary |
Addresses
Primary practice location
2018 Clinch Ave
Knoxville, TN 37916-2301
Mailing address
PO Box 15010
Knoxville, TN 37901-5010
Phone (865) 541-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q071580 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160727000376 | IL | Order and Referring Only - General Surgery | 1759672462 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Children'S Hospital Association, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Knoxville, TN
- NPI 1912649518
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1649629411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15010",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379015010",
"telephone_number": "865-541-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 CLINCH AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162301",
"telephone_number": "865-541-8266",
"fax_number": "865-541-8553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELNIKOV",
"first_name": "LEONID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-12",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "4608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q071580",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.