Charli Athena Mella, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

S9939 Issued in TX

Practice address

479 Westpark Way
Euless, TX 76040-3957

Phone

(817) 358-5500

Fax

(817) 358-5511

NPI assigned

May 29, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Catalyst Physician Group - NTX, PLLCGroup PAC ID 4284074758, 87 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DFW Home Health Home health agency, Fort Worth, TX, CCN 457575
• Professional Home Health Care Inc Home health agency, Euless, TX, CCN 459470
• Classic Home Care Home health agency, Arlington, TX, CCN 747434
• Medical City Alliance Hospital, Fort Worth, TX, CCN 670103
• Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Catalyst Physician Group - NTX, PLLC

  • Family Medicine Physician
  • Plano, TX
  • NPI 1811677610

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Northeast Tarrant Internal Medicine Associates

  • Internal Medicine Physician
  • Euless, TX
  • NPI 1215007570
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• LHCG Xxxiii, LLC

  dba DFW Home Health

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1619237310
  Care Compare affiliation
• North Texas - Mca LLC

  dba Medical City Alliance

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1871911016
  Care Compare affiliation
• Professional Home Health Care Inc

  • Home Health Agency
  • Euless, TX
  • NPI 1720018534
  Care Compare affiliation
• SLH Health Corp

  dba Classic Home Care

  • Home Health Agency
  • Arlington, TX
  • NPI 1699900498
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Southwest Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1417980202
  Care Compare affiliation

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

{
    "created_epoch": "1496016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1699203125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTHEAST TARRANT INTERNAL MEDICINE ASSOCIATES, LLP",
            "address_2": "479 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "76040",
            "telephone_number": "817-358-5500",
            "fax_number": "817-358-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403957",
            "telephone_number": "817-358-5500",
            "fax_number": "817-358-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8740 Medical City Way",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761772414",
            "country_code": "US",
            "telephone_number": "817-358-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLA",
        "first_name": "CHARLI",
        "middle_name": "ATHENA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-29",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "73958-20",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125070689",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S9939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Edge Healthcare Group, PA (Community Therapy Center of Bedford, PA)
• Medicare Medical Equipment
• Carla Alison Medina Martinez
• Jordan Minter Medina, M.S., CCC-SLP
• Medway Solutions LLC
• Shonna Menchaca, CSFA, CST
• Metromed LLC
• Tara Meynard
• Mid Cities Speech & Hearing Clinic Inc
• Mid City Angels L.L.C. (visiting angels)

• Internal Medicine Physician in Euless, TX
• Providers in Euless, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.