Individual provider Active NPI

Richard A Melde, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1710027438
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7685 Issued in AZ
Practice address
34975 N North Valley Pkwy
Suite 100
Phoenix, AZ 85086-4028
Phone
(623) 295-4820
Fax
(623) 295-4830
NPI assigned
Feb 8, 2007
Last updated
Sep 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7685 AZ Primary

Addresses

Primary practice location

34975 N North Valley Pkwy
Suite 100
Phoenix, AZ 85086-4028

Mailing address

2500 W Utopia Rd
Ste. 100
Phoenix, AZ 85027-4171
Phone (602) 214-6148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040722001342 AZ Practitioner - General PracticePractitioner - Family PracticePractitioner - Emergency Medicine 9436134608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine, Family Practice
Education
University of Arizona College of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

26750 B S Santa Fe Rd
Congress, AZ 85332-0321
Phone (928) 666-1197

519 Rose LN
Suite a
Wickenburg, AZ 85390-1448
Phone (928) 684-4365

523 Rose LN
Wickenburg, AZ 85390-1448

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medcom Medical, LLC Family Medicine CurrentSince Aug 5, 2018 Accepting new patients
Community Hospital Association, Inc. CurrentSince Nov 6, 2023 Accepting new patients
Desert Integrated Medicine, LLC Family Medicine CurrentSince Jun 22, 2004 Accepting new patients
Community Hospital Association, Inc. Past Accepting new patients

Locations

108 S Broad St
Globe, AZ 85501
Phone (928) 425-6592

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

520 Rose Ln
Ste A
Wickenburg, AZ 85390
Phone (928) 668-0222

523 Rose Ln
Wickenburg, AZ 85390
Phone (928) 668-1833

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1710027438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "address_2": "STE. 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "602-214-6148",
            "fax_number": "602-214-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34975 N NORTH VALLEY PKWY",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850864028",
            "telephone_number": "623-295-4820",
            "fax_number": "623-295-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELDE",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "7685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.