Individual provider Active NPI

Melissa Marie Stroud, M.D.

  • Pediatrics Physician
  • Decatur, TX
National Provider Identifier
1841405446
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M5943 Issued in TX
Practice address
609 Medical Center Dr Ste 2218
Decatur, TX 76234-3836
Phone
(940) 626-2718
Fax
(940) 626-1782
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M5943 TX Primary

Addresses

Primary practice location

609 Medical Center Dr Ste 2218
Decatur, TX 76234-3836

Mailing address

PO Box 2078
Decatur, TX 76234-6156
Phone (940) 626-2718

Other identifiers 3

IdentifierTypeStateIssuer
186737602MedicaidTX
8CZ775OtherTXWCCA BCBSTX
8AH780OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150515001858 TX Practitioner - Pediatric Medicine 8426378324 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Pinto County Hospital District Current Accepting new patients
Wise Clinical Care Associates Pediatrics CurrentSince May 1, 2015 Accepting new patients
Palo Pinto County Hospital District Pediatrics CurrentSince Jun 1, 2025 Accepting new patients
Palo Pinto County Hospital District CurrentSince Jun 1, 2025 Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Wise Clinical Care Associates Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Columbia Medical Center of Denton Subsidiary LP Past Accepting new patients
Melissa Stroud, MD, PLLC PastSince May 1, 2015 Accepting new patients

Locations

133 N FM 730
Unit 105
Boyd, TX 76023
Phone (940) 433-2151

2014 Ben Merritt Dr
Ste B
Decatur, TX 76234
Phone (940) 626-2962

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

609 Medical Center Dr
Ste 2218
Decatur, TX 76234
Phone (940) 626-2718

1821 S FM 51
Decatur, TX 76234
Phone (855) 277-2979

202 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 328-7507

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

202 SW 25th Ave
Ste 300
Mineral Wells, TX 76067
Phone (940) 328-6521

Organizations & group practices 11

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1841405446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2078",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762346156",
            "telephone_number": "940-626-2718",
            "fax_number": "940-626-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MEDICAL CENTER DR STE 2218",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343836",
            "telephone_number": "940-626-2718",
            "fax_number": "940-626-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M5943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186737602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WCCA BCBSTX",
            "identifier": "8CZ775",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AH780",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.