Active NPI
Kraig A. Melville
- Emergency Medical Services (Emergency Medicine) Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- D0050708
- Practice address
- 900 S Caton Ave
Baltimore, MD 21229-5201 - Phone
- (410) 368-2014
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101284263 | VA | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | D0050708 | MD | Primary |
Addresses
Primary practice location
900 S Caton Ave
Baltimore, MD 21229-5201
Mailing address
856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800
Other practice location 1
12997 Warwick Blvd
Newport News, VA 23602-8352
Phone (757) 369-9446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 543213800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12997 Warwick Blvd
Newport News, VA 23602-8352
Phone (757) 369-9446
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101284263 | VA | MD | Emergency Medicine Physician |
| D0050708 | MD | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Chesapeake Emergency Medicine Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Michumi PLLC | Emergency Medicine | Current | Accepting new patients |
| Memn Hospitalists, LLC | Emergency Medicine | Past | Accepting new patients |
| Maryland Provo-I Medical Services, PC | Emergency Medicine | Past | Accepting new patients |
| Peninsula Radiological Associates Limited | Past | Accepting new patients | |
| Hospital Physician Services, LLLP | Past | Accepting new patients | |
| Joseph S. Fastow, M.D., P.a. | Past | Accepting new patients |
Locations
15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511
3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000
7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300
6567 George Washington Memorial Hwy
Gloucester, VA 23061
Phone (804) 824-9962
3321 W Mercury Blvd
Hampton, VA 23666
Phone (757) 224-0056
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
12997 Warwick Blvd
Newport News, VA 23602
Phone (757) 369-3357
120 Monticello Ave
Williamsburg, VA 23185
Phone (757) 564-3627
4740 George Washington Mem Hwy
Ste A
Yorktown, VA 23692
Phone (757) 890-6339
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.
-
- Emergency Medicine Physician
- Williamsburg, VA
- NPI 1255388021
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
- Emergency Medicine Physician
- Bel Air, MD
- NPI 1285854026
-
- General Acute Care Hospital
- Westminster, MD
- NPI 1457302713
-
- Critical Access Hospital
- Prince Frederick, MD
- NPI 1861443103
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1013002096
-
- Emergency Medicine Physician
- Laurel, MD
- NPI 1295291029
-
- Diagnostic Radiology Physician
- Newport News, VA
- NPI 1114030426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1821043266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD STE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-316-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S CATON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295201",
"telephone_number": "410-368-2014"
}
],
"practiceLocations": [
{
"address_1": "12997 Warwick Blvd",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236028352",
"country_code": "US",
"telephone_number": "757-369-9446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELVILLE",
"first_name": "KRAIG",
"middle_name": "A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101284263",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MD",
"license": "D0050708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "543213800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.