Individual provider Active NPI

George A. Melone Jr., M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Highlands Ranch, CO
National Provider Identifier
1780659573
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
0061314 Issued in CO
Practice address
3235 Mill Vista Rd
Highlands Ranch, CO 80129-2440
Phone
(303) 876-8320
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 32793 NC
Student in an Organized Health Care Education/Training Program 390200000X
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 0061314 CO Primary

Addresses

Primary practice location

3235 Mill Vista Rd
Highlands Ranch, CO 80129-2440

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (410) 402-2379

Other practice location 1

250 Smith Church Rd
Roanoke Rapids, NC 27870-4928
Phone (252) 535-8715

Other practice location 2

12631 E 17th Ave
Aurora, CO 80045
Phone (303) 724-8339

Other identifiers 2

IdentifierTypeStateIssuer
7958590MedicaidNC
58590OtherNCBLUECROSS BLUESHIELD

Other names 1

  • George A Melone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040827000124 NC Practitioner - Emergency Medicine 6901871656 Reassigns benefits to 2 organizations
I20220610002035 CO Practitioner - Geriatric MedicinePractitioner - Internal Medicine 6901871656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 Carson Ave
La Junta, CO 81050-2799

Hospital & facility affiliations

  • Arkansas Valley Regional Medical Center Hospital, Lajuna, CO, CCN 061336

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0061314COMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Jun 8, 2021 Accepting new patients
Vidant Medical Group LLC CurrentSince Jun 8, 2021 Accepting new patients
Arkansas Valley Regional Medical Center CurrentSince May 1, 2025 Accepting new patients
Halifax Regional Medical Center Inc CurrentSince May 10, 2013 Accepting new patients
Halifax Regional Medical Center Inc CurrentSince May 10, 2013 Accepting new patients
Bladen County Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
National Emergency Services North Carolina Inc Emergency Medicine Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients

Locations

1100 Carson Ave
La Junta, CO 81050
Phone (719) 383-6000

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

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 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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1780659573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "410-402-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 MILL VISTA RD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292440",
            "telephone_number": "303-876-8320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Smith Church Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke Rapids",
            "state": "NC",
            "postal_code": "278704928",
            "country_code": "US",
            "telephone_number": "252-535-8715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12631 E 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80045",
            "country_code": "US",
            "telephone_number": "303-724-8339",
            "fax_number": "302-724-1918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELONE",
        "first_name": "GEORGE",
        "middle_name": "A.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "32793",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "0061314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7958590",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "58590",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "MELONE",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.