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THOMAS P MELANCON MD LLC
NPI 1154650679
Internal Medicine in Marrero, LA

Active since December 11, 2009CLIA 19D2007929 · Waiver
1111 MEDICAL CENTER BLVD, SUITE 205, MARRERO, LA 70072(504) 392-7999(504) 392-6100 Get Directions Write a Review

NPPES record last updated: August 25, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas P Melancon Md Llc NPPES

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

THOMAS P MELANCON MD LLC (NPI 1154650679) is a healthcare organization registered as an internal medicine in Marrero, Louisiana and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Thomas P Melancon, President, as its authorized official.

NPPES Registry Identity

NPI1154650679
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTHOMAS P MELANCON MD LLC
Location Address1111 MEDICAL CENTER BLVD, SUITE 205Marrero, LA 70072-3151
Mailing Address1111 Medical Center Blvd, Suite 205Marrero, LA 70072-3151 · (504) 392-7999 · Fax (504) 392-6100
Phone(504) 392-7999
Fax(504) 392-6100
Organization SubpartNo
Authorized OfficialThomas P MelanconPresident · (504) 392-7999
Enumeration DateDecember 11, 2009
Last NPPES UpdateAugust 25, 2010
✔ NPI 1154650679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 18656
Definition
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.
1111 MEDICAL CENTER BLVD, Marrero, LA 70072
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Other Identifiers 2

Medicare UPIND62754LA
Medicaid1397610LA

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)

Thomas P Melancon Md Llc 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 Thomas P Melancon MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Melancon, M.D.
Internal Medicine
NPI 1811989197
1111 MEDICAL CENTER BLVD SUITE 205
Marrero, LA 70072
(504) 392-7999
✔ PECOS✔ Accepts Medicare0.2 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2007929

Thomas P Melancon, MD · Marrero, LA
Active · expires May 27, 2028
CLIA Number19D2007929
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorKim M. Marcel
Laboratory Phone(504) 392-7999
Laboratory LocationThomas P Melancon, MD4700 Wichers Dr, Suite 204, Marrero, LA 70072
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Thomas P Melancon MD LLC's NPI number?

The NPI number for Thomas P Melancon MD LLC is 1154650679. It was assigned to this organization in the NPPES registry on December 11, 2009.

Where is Thomas P Melancon MD LLC located?

Thomas P Melancon MD LLC is located at 1111 Medical Center Blvd Suite 205, Marrero, LA 70072. The listed phone number is (504) 392-7999.

What is Thomas P Melancon MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas P Melancon MD LLC enrolled in Medicare?

Yes. Thomas P Melancon MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thomas P Melancon MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Thomas P Melancon MD LLC. 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.

Does Thomas P Melancon MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2007929) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Thomas P Melancon MD LLC was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.