NPIMap

Individual provider Active NPI

Sameh H Melouk, MD

  • Specialist
  • Boulder, CO
National Provider Identifier
1841392487
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
37284 Issued in CO
Practice address
4743 Arapahoe Ave
Suite 104
Boulder, CO 80303-1113
Phone
(303) 444-9000
Fax
(303) 444-9073
NPI assigned
Sep 3, 2006
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 37284 CO Primary

Addresses

Primary practice location

4743 Arapahoe Ave
Suite 104
Boulder, CO 80303-1113

Mailing address

4743 Arapahoe Ave
Suite 104
Boulder, CO 80303-1113
Phone (303) 444-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000724 CO Practitioner - Urology 4981737269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Oklahoma College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Urology PLLCGroup PAC ID 2365346558, 58 clinicians

Practice addresses (Care Compare)

10535 Park Meadows Blvd
Suite 102
Lone Tree, CO 80124-8455
Phone (303) 695-6106

32135 Castle CT
Suite 101
Evergreen, CO 80439-8006
Phone (303) 985-2550

4743 Arapahoe Ave
Suite 104
Boulder, CO 80303-1123
Phone (303) 444-9000

500 W 144TH Ave
BLDG 2 Suite 220
Westminster, CO 80023-9328
Phone (720) 227-0977

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37284COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Lithotripter LLC Urology CurrentSince Oct 1, 2019 Accepting new patients
Advanced Urology, PLLC Urology CurrentSince Sep 1, 2019 Accepting new patients
Advanced Urology, PLLC Urology CurrentSince Sep 1, 2019 Accepting new patients
Foothills Urology, PC Urology Current Accepting new patients
Advanced Urology, PLLC Urology Current Accepting new patients

Locations

4743 Arapahoe Ave
Boulder, CO 80303
Phone (303) 444-9000

4743 Arapahoe Ave
Ste 104
Boulder, CO 80303
Phone (303) 443-4200

2352 Meadows Blvd
Castle Rock, CO 80109
Phone (303) 755-0120

4700 Hale Pkwy
Denver, CO 80220
Phone (303) 321-0302

3535 S Lafayette St
Ste 220
Englewood, CO 80113
Phone (303) 839-6060

32135 Castle Ct
Ste 101
Evergreen, CO 80439
Phone (303) 679-8500

5275 Dtc Pkwy
Greenwood Village, CO 80111
Phone (303) 570-2760

120 Old Laramie Trl
Lafayette, CO 80026
Phone (303) 926-9800

10535 Park Meadows Blvd
Lone Tree, CO 80124
Phone (303) 662-8250

10535 Park Meadows Blvd
Ste 102
Lone Tree, CO 80124
Phone (303) 695-1211

3 Superior Dr
Superior, CO 80027
Phone (303) 415-5255

3 Superior Dr
Ste 350
Superior, CO 80027
Phone (303) 666-4343

Interoperability endpoints

  • Direct secure messaging: rockymountainlithotripterllc.sammelouk@133913.advancedmd-direct.com
  • Direct secure messaging: samehmelouk@fu.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 50

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1841392487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE",
            "address_2": "SUITE 104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031113",
            "telephone_number": "303-444-9000",
            "fax_number": "303-444-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE",
            "address_2": "SUITE 104",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031113",
            "telephone_number": "303-444-9000",
            "fax_number": "303-444-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELOUK",
        "first_name": "SAMEH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "37284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.