Raveendran Meleth, MD

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

License

20540 Issued in AL

Practice address

700 19TH St S
Birmingham, AL 35233-1927

Phone

(205) 933-8101

Fax

(205) 939-4583

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in AL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659472165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 CYPRESS COVE CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352448247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331927",
            "telephone_number": "205-933-8101",
            "fax_number": "205-939-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELETH",
        "first_name": "RAVEENDRAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "AL",
            "license": "20540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "013796",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Brandon Melcher
• Kent Michael Melchiors
• Donna Ann Melder, LPC
• Yulia Melenevsky, M.D.
• Anna Pasvantis Melerine, M.D.
• Melissa S Nix DMD LLC
• Allen Mello
• Colleen Mellown
• Katie Meloni, MS, RD, LD
• Abby Bowen Melton, PA-C

• VA Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• VA Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.