Daniel Elias Melville, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P4352 Issued in TX

Practice address

1545 E Southlake Blvd Ste 110
Southlake, TX 76092-6464

Phone

(817) 600-8725

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.melville.1@22505.direct.athenahealth.com

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.

• Southlake Emergicare PLLC

  • Emergency Medicine Physician
  • Southlake, TX
  • NPI 1598172033
  Medicare reassignment NPD
• Proassist Surgical Associates, LLC

  • Surgical Technologist
  • McKinney, TX
  • NPI 1083788848
  NPD (past)
• Carefirst Urgent Care Center LLC

  • Urgent Care Clinic/Center
  • Elizabethtown, KY
  • NPI 1699725234

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1881646255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 E SOUTHLAKE BLVD STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926464",
            "telephone_number": "817-600-8725",
            "fax_number": "833-989-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 E SOUTHLAKE BLVD STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926464",
            "telephone_number": "817-600-8725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 East Southlake Blvd",
            "address_2": "Emergency Department",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "76092",
            "country_code": "US",
            "telephone_number": "817-748-8789",
            "fax_number": "817-748-8827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELVILLE",
        "first_name": "DANIEL",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "41035",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "200658",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "P4352",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meehan Sports Therapy & Pediatrics PLLC
• Taylor Nichole Meek
• Yasa Mekki
• Marisa Nicole Mellett
• Melville Medicine, PLLC
• Melissa Mendez
• Edith Marie Mendoza, NP
• Heather Mendoza, PMHNP
• Latrecia Marvette Menindez
• Mental Health Wellness LLC

• Family Medicine Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.