ERIC MELLENCAMP M.D. NPI 1326048380

NPI Information

  • NPI: 1326048380
  • Provider Name: ERIC MELLENCAMP, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1906 BELLEVIEW AVE SE
    ROANOKE, VA
    ZIP 24014
  • Phone: (540) 981-7037

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NPI Details

Eric Mellencamp, M.D. is a diagnostic radiology radiology in Roanoke, VA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Eric Mellencamp, M.D. NPI is 1326048380. 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:

1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014-838
Phone: (540) 981-7037

The NPI 1326048380 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 7/29/2005 and was last updated on 2/8/2019.

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
12085R0202XRadiologyDiagnostic RadiologyC10006375DELAWARENo
22085R0202XRadiologyDiagnostic RadiologyMD040130EPENNSYLVANIANo
32085R0202XRadiologyDiagnostic Radiology0101243089VIRGINIAYes
42085R0204XRadiologyVascular & Interventional RadiologyMD040130EPENNSYLVANIANo
52085R0204XRadiologyVascular & Interventional RadiologyC1-0006375DELAWARENo

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

NPI Synchronization or Removal

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