Individual provider Active NPI

Mayda Melendez, MD

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1760491807
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10005372 Issued in DE
Practice address
2500 W 4TH St
Suite 6
Wilmington, DE 19805-3367
Phone
(302) 482-3388
Fax
(302) 482-3389
NPI assigned
Aug 7, 2006
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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 C10005372 DE Primary

Addresses

Primary practice location

2500 W 4TH St
Suite 6
Wilmington, DE 19805-3367

Mailing address

2500 W 4TH St
Suite 6
Wilmington, DE 19805-3367
Phone (302) 482-3388

Other practice location 1

2500 W 4th Street
Ste 9
Wilmington, DE 19805-3367
Phone (302) 356-0506

Other practice location 2

1 Centurian Drive
Ste 110
Newark, DE 19713-2154
Phone (302) 356-0506

Other identifiers 7

IdentifierTypeStateIssuer
0000939801OtherDELAWARE PHYSICNS
510064326OtherAETNA US HEALTHCARE
G91563OtherDEBCBS OF DE
0000939801MedicaidDE
292961OtherALLIANCE
0373923000OtherAMER HEALTH
62034OtherCOVENTRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20071024000245 DE Practitioner - Family Practice 4880781772 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Complete Family Care, IncGroup PAC ID 9133268717, 2 clinicians

Practice addresses (Care Compare)

Wilmington, DE 19805
Phone (302) 356-0506

1102 Quintilio Dr
Bear, DE 19701-6004
Phone (302) 356-0506

2500 W 4TH St
Suite 6
Wilmington, DE 19805-3352
Phone (302) 482-3388

2500 W 4TH St
Suite 9
Wilmington, DE 19805-3367
Phone (302) 356-0506

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Medical Associates, LLC Family Medicine CurrentSince Sep 1, 2007 Accepting new patients
Complete Family Care, Inc Family Medicine CurrentSince Sep 6, 2009 Accepting new patients
Nephrology Consultants PA PastSince Sep 6, 2009 Accepting new patients

Locations

702 E Basin Rd
New Castle, DE 19720
Phone (302) 322-9565

2300 Pennsylvania Ave
Ste 4C
Wilmington, DE 19806
Phone (302) 658-4270

2401 Pennsylvania Ave
Ste 101
Wilmington, DE 19806
Phone (302) 777-1103

2500 W 4th St
Ste 6
Wilmington, DE 19805
Phone (302) 355-2383

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c97fd5e-8596-4941-825c-71277aadd345/

Organizations & group practices 5

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 2

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1760491807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 4TH ST",
            "address_2": "SUITE 6",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053367",
            "telephone_number": "302-482-3388",
            "fax_number": "302-482-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 4TH ST",
            "address_2": "SUITE 6",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053367",
            "telephone_number": "302-482-3388",
            "fax_number": "302-482-3389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W 4th Street",
            "address_2": "Ste 9",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198053367",
            "country_code": "US",
            "telephone_number": "302-356-0506",
            "fax_number": "302-486-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Centurian Drive",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132154",
            "country_code": "US",
            "telephone_number": "302-356-0506",
            "fax_number": "302-486-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "MAYDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10005372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELAWARE PHYSICNS",
            "identifier": "0000939801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "510064326",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DE",
            "identifier": "G91563",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000939801",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "292961",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMER HEALTH",
            "identifier": "0373923000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "62034",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.