MARIO MELIDONA P.T.
NPI 1144229451
Specialist in Geneseo, NY

Active since July 19, 2005Accepts Medicare Assignment
4188 LAKEVILLE RD, GENESEO, NY 14454(585) 243-9150(585) 243-4814 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mario Melidona P.t. NPPES

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

MARIO MELIDONA P.T. (NPI 1144229451) is an individual specialist in Geneseo, New York, licensed in New York (010148) and active in the NPI registry since July 2005. He is a graduate of Other (1988).

NPPES Registry Identity

NPI1144229451
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARIO MELIDONACredential: P.T.
Location Address4188 LAKEVILLE RDGeneseo, NY 14454-1134
Mailing Address4188 Lakeville RdGeneseo, NY 14454-1134 · (585) 243-9150 · Fax (585) 243-4814
Fax(585) 243-4814
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 19, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144229451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 010148
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4188 LAKEVILLE RD, Geneseo, NY 14454

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mario Melidona P.t. 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 ID7214827658
PECOS Enrollment IDI20111024000044

Medicare Billing Reassignment

Medicare enrollment records show Mario Melidona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
640 PINNACLE RD
Pittsford, NY 14534
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 5

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

Dentist
4188 LAKEVILLE RD
GENESEO, NY 14454
Dentist (General Practice)
4188 LAKEVILLE RD
GENESEO, NY 14454
Physical Therapist
4188 LAKEVILLE RD
GENESEO, NY 14454
Physical Therapist
4188 LAKEVILLE RD
GENESEO, NY 14454
Specialist
4188 LAKEVILLE RD
GENESEO, NY 14454

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 Mario Melidona's NPI number?

The NPI number for Mario Melidona is 1144229451. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Mario Melidona located?

Mario Melidona practices at 4188 Lakeville Rd, Geneseo, NY 14454. The listed phone number is (585) 243-9150.

What is Mario Melidona's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mario Melidona enrolled in Medicare?

Yes. Mario Melidona is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mario Melidona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Melidona reassigns Medicare benefits to Thrive Physical Therapy, PLLC (Pittsford, NY). The 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 Mario Melidona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mario Melidona was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.