Active NPI
Larry D Melia, M.D.
- Internal Medicine Physician
- Delta, CO
National Provider Identifier
1992806160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 29474
- Practice address
- 1450 Burgess St
Delta, CO 81416-2849 - Phone
- (970) 874-7668
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 9944 | MT | |
| Internal Medicine Physician | 207R00000X | 29474 | CO | Primary |
Addresses
Primary practice location
1450 Burgess St
Delta, CO 81416-2849
Mailing address
PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-2470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01294743 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29474 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Porter Ekg Interpretation Service | Internal Medicine | Past | Accepting new patients |
| Sound Hospitalists of Centura, PC | Internal Medicine | Past | Accepting new patients |
| Community Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Community Care of the Grand Valley
- Family Medicine Physician
- Grand Junction, CO
- NPI 1629201637
-
- Internal Medicine Physician
- Englewood, CO
- NPI 1689632176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1992806160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10100",
"city": "DELTA",
"state": "CO",
"postal_code": "814160008",
"telephone_number": "970-874-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 BURGESS ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814162849",
"telephone_number": "970-874-7668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELIA",
"first_name": "LARRY",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MT",
"license": "9944",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "29474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01294743",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.