Organization Active NPI

Medstar Ambulance Inc

  • Non-emergency Medical Transport (VAN)
  • Leominster, MA
National Provider Identifier
1821089202
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
3038 Issued in MA
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1720007MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041101000315 MA Part B Supplier - Ambulance Service Supplier 0840252987 Practice locations: Leominster, MA; Worcester, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2304922Critical Systems Inc-Medstar Ambulance1000 Battles St., Leominster, MA 01453Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.