Active NPI
Medstar Ambulance Inc
- Non-emergency Medical Transport (VAN)
- Leominster, MA
National Provider Identifier
1821089202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 3038
- Legal business name
- MEDSTAR AMBULANCE INC
- Practice address
- 1000 Battles St
Leominster, MA 01453-1502 - Phone
- (978) 466-8883
- Fax
- (978) 534-9650
- NPI assigned
- Nov 3, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nicholas Melehov
- Title
- Director
- Phone
- (978) 466-8883
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3038 | MA | |
| Non-emergency Medical Transport (VAN) | 343900000X | 3038 | MA | Primary |
Addresses
Primary practice location
1000 Battles St
Leominster, MA 01453-1502
Mailing address
PO Box 5
Leominster, MA 01453-0005
Phone (978) 466-8883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720007 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041101000315 | MA | Part B Supplier - Ambulance Service Supplier | 0840252987 | Practice locations: Leominster, MA; Worcester, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2304922 | Critical Systems Inc-Medstar Ambulance | Certificate of waiver | May 20, 2028 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
60 Solferino St
Ste C
Worcester, MA 01604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1821089202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014530005",
"telephone_number": "978-466-8883",
"fax_number": "978-534-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BATTLES ST",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014531502",
"telephone_number": "978-466-8883",
"fax_number": "978-534-9650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDSTAR AMBULANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-03",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MELEHOV",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "978-466-8883",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MA",
"license": "3038",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "MA",
"license": "3038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720007",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.