Individual provider Active NPI

Melinda Powers, DO

  • Family Medicine Physician
  • Rotan, TX
National Provider Identifier
1972546067
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K5669 Issued in TX
Practice address
774 State Highway 70 N
Rotan, TX 79546-6918
Phone
(325) 735-2211
Fax
(325) 735-2240
NPI assigned
Jun 14, 2006
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5669 TX Primary

Addresses

Primary practice location

774 State Highway 70 N
Rotan, TX 79546-6918

Mailing address

774 State Highway 70 N
Rotan, TX 79546-6918
Phone (325) 735-2211

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140228000170 TX Practitioner - Family Practice 3476510934 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4252OKMDDental Hygienist
K5669TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher County Hospital District Current Accepting new patients
Fisher County Hospital District CurrentSince Apr 30, 2018 Accepting new patients
Fisher County Hospital District CurrentSince Apr 30, 2018 Accepting new patients
Covenant Medical Group Family Medicine Past Accepting new patients
Jackson County Memorial Hosp Phcy Past Accepting new patients
Covenant Medical Group Family Medicine Past Accepting new patients

Locations

774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1972546067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 STATE HIGHWAY 70 N",
            "city": "ROTAN",
            "state": "TX",
            "postal_code": "795466918",
            "telephone_number": "325-735-2211",
            "fax_number": "325-735-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 STATE HIGHWAY 70 N",
            "city": "ROTAN",
            "state": "TX",
            "postal_code": "795466918",
            "telephone_number": "325-735-2211",
            "fax_number": "325-735-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "MELINDA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rotan, TX

Sources for this page

Verify at the official NPI Registry.