Individual provider Active NPI

Joseph Keith Melancon, M.D.

  • Transplant Surgery Physician
  • Washington, DC
National Provider Identifier
1760432108
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
MD037319 Issued in DC
Practice address
2131 K St NW Ste 800
Washington, DC 20037-1888
Phone
(202) 715-4225
Fax
(202) 715-4663
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 270515 NY
Transplant Surgery Physician 204F00000X D62233 MD
Surgery Physician 208600000X 270515 NY
Transplant Surgery Physician 204F00000X MD037319 DC Primary

Addresses

Primary practice location

2131 K St NW Ste 800
Washington, DC 20037-1888

Mailing address

2131 K St NW Ste 800
Washington, DC 20037-1888
Phone (202) 715-4225

Other identifiers 3

IdentifierTypeStateIssuer
03687809MedicaidNY
P00894808OtherDCRAILROAD MEDICARE
405991300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20080910000204 DC Practitioner - General Surgery 9830154483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tulane University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Practice addresses (Care Compare)

2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-2600

Hospital & facility affiliations

  • George Washington Univ Hospital Hospital, Washington, DC, CCN 090001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037319DCMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc Surgery CurrentSince Jan 1, 2013 Accepting new patients
District Hospital Partners L P Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2131 K St NW
Ste 800
Washington, DC 20037
Phone (202) 715-4225

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

2131 K St NW
Ste 700
Washington, DC 20037
Phone (202) 715-4068

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

600 N Wolfe St
Baltimore, MD 21287

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.

Hospital & facility affiliations 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1760432108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 K ST NW STE 800",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371888",
            "telephone_number": "202-715-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 K ST NW STE 800",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371888",
            "telephone_number": "202-715-4225",
            "fax_number": "202-715-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANCON",
        "first_name": "JOSEPH",
        "middle_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NY",
            "license": "270515",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "MD",
            "license": "D62233",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "270515",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "DC",
            "license": "MD037319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03687809",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00894808",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405991300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.