Individual provider Active NPI

Antonio M. De Melo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fall River, MA
National Provider Identifier
1811002736
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2062 Issued in MA
Practice address
222 Milliken Blvd
Fall River, MA 02721-1623
Phone
(508) 679-5700
Fax
(508) 679-7759
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2062 MA Primary

Addresses

Primary practice location

222 Milliken Blvd
Fall River, MA 02721-1623

Mailing address

222 Milliken Blvd
Fall River, MA 02721-1623
Phone (508) 679-5700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000459 MA Practitioner - Podiatry 1658380415 Practice locations: Fall River, MA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 Milliken Blvd
Fall River, MA 02721-1623
Phone (508) 679-5700

Hospital & facility affiliations

  • Southcoast Visiting Nurse Association Inc Home health agency, Fairhaven, MA, CCN 227101
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Southcoast Hospitals Group Inc. Inpatient rehabilitation facility, Fall River, MA, CCN 22T074

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue528
Removal of skin lesions15
Removal of nail tissue621
Removal or shaving of skin growth447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2062MAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
King de Melo Southcoast Foot Care Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ademelo22292@direct.southcoast.org

Organizations & group practices 1

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 4

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811002736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MILLIKEN BLVD",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211623",
            "telephone_number": "508-679-5700",
            "fax_number": "508-679-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MILLIKEN BLVD",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211623",
            "telephone_number": "508-679-5700",
            "fax_number": "508-679-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MELO",
        "first_name": "ANTONIO",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.