Active NPI
Melanie Ann Lane, MD
- Family Medicine Physician
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30590
- Practice address
- 17014 W Bell Rd Ste 100
Surprise, AZ 85374-2479 - Phone
- (623) 866-4484
- Fax
- (415) 252-7176
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30590 | AZ | Primary |
Addresses
Primary practice location
17014 W Bell Rd Ste 100
Surprise, AZ 85374-2479
Mailing address
17014 W Bell Rd Ste 100
Surprise, AZ 85374-2479
Phone (623) 866-4484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30590 | Other | AZ | LICENSE |
| Z22506 | Other | AZ | MEDICARE GROUP PIN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040105000225 | AZ | Practitioner - Family Practice | 0446159958 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iora Senior Health LLCRau Physical Therapy Inc
Practice addresses (Care Compare)
17014 W Bell Rd
Suite 100
Surprise, AZ 85374-2479
Phone (888) 405-6396
193 E Jefferson St
Frankenmuth, MI 48734-1935
Hospital & facility affiliations
- Banner del E. Webb Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Iora Health, LLC | Past | Accepting new patients | |
| Arizona Institute of Geriatric Medicine | Past | Accepting new patients | |
| Iora Health Massachusetts, P.C. | Past | Accepting new patients | |
| Iora Senior Health, LLC | Past | Accepting new patients |
Locations
3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570
17014 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 249-7852
101 Tremont St
Fl 6
Boston, MA 02108
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Glendale, CO
- NPI 1366827024
-
- Internal Medicine Physician
- Tucker, GA
- NPI 1518446194
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1710386545
-
- Rehabilitation Clinic/Center
- Frankenmuth, MI
- NPI 1841712825
-
- Internal Medicine Physician
- Arvada, CO
- NPI 1760867428
-
- Medical Specialty Clinic/Center
- Sun City, AZ
- NPI 1467633784
-
- Internal Medicine Physician
- Surprise, AZ
- NPI 1952896235
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1851858666
-
- Internal Medicine Physician
- Hanover, NH
- NPI 1700285616
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1720062953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17014 W BELL RD STE 100",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742479",
"telephone_number": "623-866-4484",
"fax_number": "415-252-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17014 W BELL RD STE 100",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742479",
"telephone_number": "623-866-4484",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "MELANIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "30590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "30590",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "Z22506",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.