Individual provider Active NPI

Melanie Kakas, PA-C

  • Surgical Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1720509821
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA18597 Issued in TX
Practice address
800 5TH Ave Ste 300
Fort Worth, TX 76104-7303
Phone
(817) 250-5690
NPI assigned
Jun 29, 2017
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X PA18597 TX Primary

Addresses

Primary practice location

800 5TH Ave Ste 300
Fort Worth, TX 76104-7303

Mailing address

3333 N Calvert St Ste 400
Baltimore, MD 21218-6501
Phone (856) 371-8988

Other practice location 1

3333 N Calvert St Ste 400
Baltimore, MD 21218-6501
Phone (410) 554-6890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220113000003 DE Practitioner - Physician Assistant 0840561056 Reassigns benefits to 1 organization
I20250114000337 TX Practitioner - Physician Assistant 0840561056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

801 W Terrell Ave
Privia Med GRP N TX
Fort Worth, TX 76104-3100
Phone (817) 877-3277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18597TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Feb 1, 2025 Accepting new patients
Texas Health Physicians Group CurrentSince Feb 1, 2025 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Aug 12, 2025 Accepting new patients
Christiana Care Health Services, Inc Physician Assistant CurrentSince Oct 18, 2021 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Aug 12, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 18, 2021 Accepting new patients

Locations

4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 2670
Newark, DE 19718
Phone (302) 584-2601

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

800 5th Ave
Ste 300
Ft Worth, TX 76104
Phone (817) 334-1400

801 W Terrell Ave
Ft Worth, TX 76104
Phone (817) 877-3277

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

110 Mary Lou Dr
Ste 100
Willow Park, TX 76087
Phone (817) 423-5611

Interoperability endpoints

  • Direct secure messaging: melanie.kakas.p1@direct.thc.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1720509821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186501",
            "telephone_number": "856-371-8988",
            "fax_number": "410-554-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 5TH AVE STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047303",
            "telephone_number": "817-250-5690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 N Calvert St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212186501",
            "country_code": "US",
            "telephone_number": "410-554-6890",
            "fax_number": "410-554-6768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAKAS",
        "first_name": "MELANIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA18597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.