Individual provider Active NPI

Matthew Meleka, D.O.

  • Interventional Cardiology Physician
  • Canton, GA
National Provider Identifier
1902283286
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
93294 Issued in GA
Practice address
1495 Hickory Flat Hwy Ste 140
Canton, GA 30115-4267
Phone
(678) 513-2273
Fax
(678) 513-8869
NPI assigned
May 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 93294 GA Primary
Cardiovascular Disease Physician 207RC0000X 25MB10344900 NJ

Addresses

Primary practice location

1495 Hickory Flat Hwy Ste 140
Canton, GA 30115-4267

Mailing address

3970 Deputy Bill Cantrell Mem
Cumming, GA 30040-3069
Phone (678) 513-2273

Other practice location 1

245 N 15th St # 6
Philadelphia, PA 19102-1101
Phone (215) 762-7916

Other practice location 2

1945 NJ-33, Neptune City, NJ 07753
Neptune, NJ 07753
Phone (732) 775-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20221104001984 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143697094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular Care, LLCGroup PAC ID 0941303622, 45 clinicians

Practice addresses (Care Compare)

3970 Deputy Bill Cantrell Mem
Cumming, GA 30040-3069
Phone (678) 513-2273

Hospital & facility affiliations

  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Piedmont Mountainside Hospital Inc Hospital, Jasper, GA, CCN 110225
  • Blue Ridge Medical Center Hospital, Blue Ridge, GA, CCN 111338
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as individual
Quality
83.52
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB10344900NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Care, LLC Cardiovascular Disease CurrentSince Oct 1, 2022 Accepting new patients
Heart and Vascular Care CurrentSince Oct 1, 2022 Accepting new patients

Locations

3905 Brookside Pkwy
Ste 101
Alpharetta, GA 30022

3905 Brookside Pkwy
Ste 202
Alpharetta, GA 30022
Phone (770) 751-9131

2855 Old Highway 5
Ste 103
Blue Ridge, GA 30513
Phone (706) 632-2066

4465 Nelson Brogdon Blvd
Ste 103
Buford, GA 30518

1495 Hickory Flat Hwy
Ste 140
Canton, GA 30115

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

3970 Deputy Bill Cantrell Mem
Ste 100
Cumming, GA 30040

3970 Deputy Bill Cantrell Mem
Cumming, GA 30040
Phone (678) 208-6146

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

73 Prestige Ln
Ste 205
Dawsonville, GA 30534

433 Highland Pkwy
Ste 201
Ellijay, GA 30540
Phone (706) 253-5514

53 Gordon Rd
Ste 102
Jasper, GA 30143

6325 Hospital Pkwy
Johns Creek, GA 30097
Phone (404) 251-1880

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

290 Heritage Walk
Ste B
Woodstock, GA 30188
Phone (770) 382-0185

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1164/brand/1/csg/1/fhir/r4
  • Direct secure messaging: matt.meleka.1@1164.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1902283286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 DEPUTY BILL CANTRELL MEM",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403069",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 HICKORY FLAT HWY STE 140",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154267",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 N 15th St # 6",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021101",
            "country_code": "US",
            "telephone_number": "215-762-7916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 NJ-33, Neptune City, NJ 07753",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "07753",
            "country_code": "US",
            "telephone_number": "732-775-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELEKA",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "93294",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB10344900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.