MELCHOR F VIDAL MD NPI 1063515054

NPI Information

  • NPI: 1063515054
  • Provider Name: MELCHOR F VIDAL, MD
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 27545 DANIEL BOONE PRKWY
    RACINE, WV
    ZIP 25165
  • Phone: (304) 837-8637

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NPI Details

Melchor F Vidal, MD is a geriatric medicine family medicine in Racine, WV. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Melchor F Vidal, MD NPI is 1063515054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

27545 DANIEL BOONE PRKWY
RACINE, WV
ZIP 25165
Phone: (304) 837-8637

The NPI 1063515054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric Medicine13443WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19329151MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
20049855001MEDICAIDWEST VIRGINIA
3D49544MEDICARE UPINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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