Kimberly Rachel Meles, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5101022161 Issued in MI

Practice address

1787 Grand Ridge CT NE Ste 101
Grand Rapids, MI 49525

Phone

(616) 252-4540

NPI assigned

May 19, 2009

Last updated

Feb 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: kmeles77023@direct.metrohealth.net

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1902031057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BYRON CENTER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199606",
            "telephone_number": "616-252-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 GRAND RIDGE CT NE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-252-4540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 SW St Lucie Blvd",
            "address_2": "suite 105",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349861780",
            "country_code": "US",
            "telephone_number": "772-344-1775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 SW St Lucie Blvd",
            "address_2": "suite 105",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349861780",
            "country_code": "US",
            "telephone_number": "772-344-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELES",
        "first_name": "KIMBERLY",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "UO2117",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101022161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005447600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blanca Luz Melchor, LLMSW
• Melissa Lynn Meldrum, M.D.
• Erica Lynn Meleca, CPNP-AC
• Johatan Melendez, RN, BSN
• Liliah Melendez
• Kimberly Ann Melgarejo, PHARMD
• Conner Alan Melinn
• Melissa a Sandman MD PC
• Melissa Deniel PLC
• Melissa Jeanne Vanderzyden

• Pediatrics Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.