ANDREW THOMAS MELENDEZ DO
NPI 1104403252
Emergency Medicine in Manteca, CA

Q: What is Andrew Melendez's NPI number?

The NPI number for Andrew Melendez is 1104403252. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Q: What is Andrew Melendez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Melendez was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment

1777 W YOSEMITE AVE, MANTECA, CA 95337(209) 825-3555 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2025, Jul 1, 2024, Mar 25, 2021 (3 updates tracked since 2021).

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About Andrew Thomas Melendez Do NPPES

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

ANDREW THOMAS MELENDEZ DO (NPI 1104403252) is an individual emergency medicine provider in Manteca, California, licensed in Connecticut (78226) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Modesto, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104403252

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameANDREW THOMAS MELENDEZCredential: DO

Location Address1777 W YOSEMITE AVEManteca, CA 95337-5187

Mailing Address4601 Dale RdModesto, CA 95356-9718 · (209) 735-6800

Phone(209) 825-3555

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 25, 2021

Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2025

✔ NPI 1104403252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CT · 78226

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1777 W YOSEMITE AVE, Manteca, CA 95337

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Secondary Practice Location 1

Location 14601 Dale RdModesto, CA 95356-9718 · Phone (209) 735-6800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Thomas Melendez Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012453475

PECOS Enrollment IDI20240722001523, I20251007003424

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

60 services59 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

20 services20 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95337 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VINISHA NOTI

Internal Medicine