NORCAL SURGICAL GROUP
NPI 1053818815
Surgery in Jackson, CA

Q: What is David M Melniczek MD Inc's NPI number?

The NPI number for David M Melniczek MD Inc is 1053818815. It was assigned to this organization in the NPPES registry on April 9, 2018. The provider is doing business as Norcal Surgical Group.

Q: What is David M Melniczek MD Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 09, 2018

777 S STATE HIGHWAY 49 STE 1&2, JACKSON, CA 95642(209) 256-8200(209) 256-8204 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 28, 2020, Jun 26, 2018, Apr 10, 2018 (3 updates tracked since 2018).

On this page

About Norcal Surgical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORCAL SURGICAL GROUP (NPI 1053818815) is a healthcare organization registered as a surgery in Jackson, California and active in the NPI registry since April 2018. The organization lists David Melniczek, Owner, as its authorized official.

NPPES Registry Identity

NPI1053818815

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameDAVID M MELNICZEK MD INC

Location Address777 S STATE HIGHWAY 49 STE 1&2Jackson, CA 95642-2685

Mailing Address777 S State Highway 49 Ste 1&2Jackson, CA 95642-2685 · (209) 256-8200 · Fax (209) 256-8204

Phone(209) 256-8200

Fax(209) 256-8204

Organization SubpartNo

Authorized OfficialDavid MelniczekOwner · (209) 256-8200

Enumeration DateApril 9, 2018

Last NPPES UpdateJanuary 28, 20203 updates tracked since enumeration

✔ NPI 1053818815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · A92447

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

777 S STATE HIGHWAY 49 STE 1&2, Jackson, CA 95642

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Other Names 1

Doing Business AsNorcal Surgical Group

Other Identifiers 1

Other051705CA · Board Certification

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Norcal Surgical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Norcal Surgical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Melniczek, MD

General Surgery

NPI 1275575664

777 S STATE HIGHWAY 49 STE 1&2
Jackson, CA 95642

(209) 256-8200

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David M Melniczek MD Inc's NPI number?

The NPI number for David M Melniczek MD Inc is 1053818815. It was assigned to this organization in the NPPES registry on April 9, 2018. The provider is doing business as Norcal Surgical Group.

Where is David M Melniczek MD Inc located?

David M Melniczek MD Inc is located at 777 S State Highway 49 Ste 1&2, Jackson, CA 95642. The listed phone number is (209) 256-8200.

What is David M Melniczek MD Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is David M Melniczek MD Inc enrolled in Medicare?

Yes. David M Melniczek MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David M Melniczek MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to David M Melniczek MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for David M Melniczek MD Inc was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.