Individual provider Active NPI

Kelly Melvin, MD

  • Psychiatry Physician
  • Huntington, WV
National Provider Identifier
1689721474
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
24023 Issued in WV
Practice address
1115 20TH St
Suite 205
Huntington, WV 25703-2071
Phone
(304) 691-1500
Fax
(304) 523-4358
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 24023 WV
Psychiatry Physician 2084P0800X 24023 WV Primary

Addresses

Primary practice location

1115 20TH St
Suite 205
Huntington, WV 25703-2071

Mailing address

1115 20TH St
Suite 205
Huntington, WV 25703-2071
Phone (304) 691-1500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kelly.Melvin@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20100802000571 WV Practitioner - Psychiatry 7416080106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
JC Edwards School of Medicine, Marshall University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHC River Park Inc.Group PAC ID 2365478252, 5 clinicians

Practice addresses (Care Compare)

1230 6TH Ave
Huntington, WV 25701-2312
Phone (304) 526-9100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mildred Mitchell Bateman Hospital CurrentSince Mar 24, 2018 Accepting new patients
HHC River Park, Inc. CurrentSince Jun 16, 2018 Accepting new patients
HHC River Park, Inc. CurrentSince Jun 16, 2018 Accepting new patients

Locations

1530 Norway Ave
Huntington, WV 25705
Phone (304) 525-7801

1230 6th Ave
Huntington, WV 25701
Phone (304) 526-9100

Interoperability endpoints

  • Direct secure messaging: kelly.melvin@marshall.cernerdirect.com

Organizations & group practices 3

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1689721474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 20TH ST",
            "address_2": "SUITE 205",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257032071",
            "telephone_number": "304-691-1500",
            "fax_number": "304-523-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 20TH ST",
            "address_2": "SUITE 205",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257032071",
            "telephone_number": "304-691-1500",
            "fax_number": "304-523-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-12-17",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WV",
            "license": "24023",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "24023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kelly.Melvin@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1115 20th St",
            "address_2": "Suite 205",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257032071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.