Individual provider Active NPI

Melissa S. M. Belanger, MD

  • Pediatrics Physician
  • Frisco, TX
National Provider Identifier
1669658639
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q5974 Issued in TX
Practice address
4040 Legacy Dr
#201
Frisco, TX 75034-6747
Phone
(972) 668-6705
Fax
(972) 668-7308
NPI assigned
Jan 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Q5974 TX Primary

Addresses

Primary practice location

4040 Legacy Dr
#201
Frisco, TX 75034-6747

Mailing address

4040 Legacy Dr
#201
Frisco, TX 75034-6747
Phone (972) 668-6705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20251106000769 WA Practitioner - Pediatric Medicine 9436283934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

313 Grove Park PL
McKinney, TX 75071-6432

PO Box
Suite 5299
Tacoma, WA 98415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q5974TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Pediatrics CurrentSince Sep 19, 2025 Accepting new patients
Multicare Health System CurrentSince Sep 19, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Stacy L. Terry, MD PA Pediatrics PastSince Nov 8, 2025 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1920 Black Lake Blvd SW
Olympia, WA 98512
Phone (360) 534-9222

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Organizations & group practices 5

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": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1669658639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 LEGACY DR",
            "address_2": "#201",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346747",
            "telephone_number": "972-668-6705",
            "fax_number": "972-668-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 LEGACY DR",
            "address_2": "#201",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346747",
            "telephone_number": "972-668-6705",
            "fax_number": "972-668-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELANGER",
        "first_name": "MELISSA",
        "middle_name": "S. M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q5974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.