Organization Active NPI

Luis Melgar Physician, PC

  • Allergy & Immunology (Internal Medicine) Physician
  • Hamburg, NY
National Provider Identifier
1982822664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
190379 Issued in NY
Legal business name
LUIS MELGAR PHYSICIAN, PC
Practice address
5893 Camp Rd
Suite 3
Hamburg, NY 14075-4470
Phone
(716) 648-7401
Fax
(716) 648-7524
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luis Melgar, M.D.NPI 1497701965
Title
Physician
Phone
(716) 648-7401

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
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X 190379 NY Primary

Addresses

Primary practice location

5893 Camp Rd
Suite 3
Hamburg, NY 14075-4470

Mailing address

5893 Camp Rd
Suite 3
Hamburg, NY 14075-4470
Phone (716) 648-7401

Other identifiers 1

IdentifierTypeStateIssuer
01616348MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041105000798 NY Part B Supplier - Clinic/Group Practice 7214990753 Receives reassigned benefits from 1 practitioner
Practice locations: Hamburg, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982822664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5893 CAMP RD",
            "address_2": "SUITE 3",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754470",
            "telephone_number": "716-648-7401",
            "fax_number": "716-648-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5893 CAMP RD",
            "address_2": "SUITE 3",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754470",
            "telephone_number": "716-648-7401",
            "fax_number": "716-648-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS MELGAR PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELGAR",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "716-648-7401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NY",
            "license": "190379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01616348",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.