Organization Active NPI

Linette B. Melcher, MD PA

  • Specialist
  • Kerrville, TX
National Provider Identifier
1922189893
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J9524 Issued in TX
Legal business name
LINETTE B. MELCHER, MD PA
Practice address
712 Hill Country Dr
Suite 100
Kerrville, TX 78028-6165
Phone
(830) 257-3669
Fax
(830) 895-1147
NPI assigned
Oct 18, 2006
Last updated
Jul 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Dr. Linette B Melcher, MDNPI 1548218399
Title
Owner
Phone
(830) 257-3669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J9524 TX Primary

Addresses

Primary practice location

712 Hill Country Dr
Suite 100
Kerrville, TX 78028-6165

Mailing address

712 Hill Country Dr
Suite 100
Kerrville, TX 78028-6165
Phone (830) 257-3669

Other identifiers 2

IdentifierTypeStateIssuer
031481701MedicaidTX
0009PYOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080320000243 TX Part B Supplier - Clinic/Group Practice 3870679558 Receives reassigned benefits from 1 practitioner
Practice locations: Kerrville, TX

National Provider Directory

National Provider Directory

Locations

1331 Bandera Hwy
Ste 4A
Kerrville, TX 78028
Phone (830) 257-3669

710 Water St
Ste 501
Kerrville, TX 78028
Phone (830) 257-3669

712 Hill Country Dr
Ste 100
Kerrville, TX 78028
Phone (830) 257-3669

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1922189893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 HILL COUNTRY DR",
            "address_2": "SUITE 100",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286165",
            "telephone_number": "830-257-3669",
            "fax_number": "830-895-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 HILL COUNTRY DR",
            "address_2": "SUITE 100",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286165",
            "telephone_number": "830-257-3669",
            "fax_number": "830-895-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINETTE B. MELCHER, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "MELCHER",
        "authorized_official_first_name": "LINETTE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-257-3669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J9524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031481701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0009PY",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.