Individual provider Active NPI

Daniel J Melkus, M.D.

  • Diagnostic Radiology Physician
  • Norfolk, NE
National Provider Identifier
1922077312
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20329 Issued in NE
Practice address
1603 Bel Air Rd
Norfolk, NE 68701-2663
Phone
(308) 647-6444
Fax
(866) 902-2445
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20329 NE Primary

Addresses

Primary practice location

1603 Bel Air Rd
Norfolk, NE 68701-2663

Mailing address

PO Box 391
Norfolk, NE 68702-0391
Phone (308) 647-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20050329001385 NE Practitioner - Diagnostic Radiology 6204882541 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community MRI Services, LLC CurrentSince Oct 11, 2010 Accepting new patients

Locations

7601 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 484-4475

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1922077312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687020391",
            "telephone_number": "308-647-6444",
            "fax_number": "866-902-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 BEL AIR RD",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012663",
            "telephone_number": "308-647-6444",
            "fax_number": "866-902-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELKUS",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "20329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.