NICK MELLIS MD PA NPI 1518298389

NPI Information

  • NPI: 1518298389
  • Provider Name: NICK MELLIS MD PA
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 21D0970368
  • Address: 2352 YORK RD
    TIMONIUM, MD
    ZIP 21093
  • Phone: (410) 560-5652

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NPI Details

NICK MELLIS MD PA is an internal medicine in Timonium, MD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NICK MELLIS MD PA NPI is 1518298389. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2352 YORK RD
TIMONIUM, MD
ZIP 21093-236
Phone: (410) 560-5652

The provider's authorized official is Nick Mellis .
The authorized official title is Owner and has the following contact phone number (410) 560-5652.

The CLIA number assigned to this NPI record is 21D0970368 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/19/2010 and was last updated on 9/26/2011.

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
1207R00000XInternal MedicineD0047762MARYLANDYes

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
1142RMEDICARE PINMARYLAND
2G20385MEDICARE UPINMARYLAND
3179188MEDICARE PINMARYLAND

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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