Individual provider Active NPI

Keith A Melda, AUD

  • Audiologist
  • Richlands, VA
National Provider Identifier
1841240975
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001330 Issued in VA
Practice address
6719 Gov. G.C. Peery Hwy.
Suite 2500
Richlands, VA 24641
Phone
(276) 964-7465
Fax
(276) 963-3507
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2201001330 VA Primary
Hearing Instrument Specialist 237700000X 2101001673 VA

Addresses

Primary practice location

6719 Gov. G.C. Peery Hwy.
Suite 2500
Richlands, VA 24641

Mailing address

6719 Gov. G.C. Peery Hwy.
Suite 2500
Richlands, VA 24641
Phone (276) 964-7465

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080415000283 VA Practitioner - Qualified Audiologist 7416968789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6719 Governor GC Peery Hwy 2500
Richlands, VA 24641-2489
Phone (276) 964-7465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2101001673VAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Hearings & Diagnostics Audiologist CurrentSince Jun 1, 2007 Accepting new patients
Associated Hearings & Diagnostics CurrentSince Jun 1, 2007 Accepting new patients
Princeton Audiology Clinic, Inc., Audiologist Past Accepting new patients
Princeton Audiology Clinic, Inc., Audiologist Past Accepting new patients
Elmhurst Memorial Healthcare PastSince May 25, 2021 Accepting new patients

Locations

6719 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 596-6725

6719 Governor Gc Peery Hwy
Ste 2500
Richlands, VA 24641
Phone (276) 964-7465

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1841240975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 GOV. G.C. PEERY HWY.",
            "address_2": "SUITE 2500",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "24641",
            "telephone_number": "276-964-7465",
            "fax_number": "276-963-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 GOV. G.C. PEERY HWY.",
            "address_2": "SUITE 2500",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "24641",
            "telephone_number": "276-964-7465",
            "fax_number": "276-963-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELDA",
        "first_name": "KEITH",
        "middle_name": "A",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001330",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101001673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.