Individual provider Active NPI

Melissa L Chik, PAC

  • Medical Physician Assistant
  • Aurora, CO
National Provider Identifier
1659524973
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2699 Issued in CO
Practice address
14001 E Iliff Ave
Aurora
Aurora, CO 80014-1405
Phone
(303) 996-1020
Fax
(303) 751-4514
NPI assigned
Oct 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2699 CO Primary

Addresses

Primary practice location

14001 E Iliff Ave
Aurora
Aurora, CO 80014-1405

Mailing address

14001 E Iliff Ave
Aurora
Aurora, CO 80014-1405
Phone (303) 996-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421000614 CO Order and Referring Only - Physician Assistant 2567760721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2699COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forum Family Medicine PC PastSince Jun 1, 2003 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.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1659524973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 E ILIFF AVE",
            "address_2": "AURORA",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141405",
            "telephone_number": "303-996-1020",
            "fax_number": "303-751-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 E ILIFF AVE",
            "address_2": "AURORA",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141405",
            "telephone_number": "303-996-1020",
            "fax_number": "303-751-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIK",
        "first_name": "MELISSA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.