DR. SAMUEL PHILIP MELLITS MD
NPI 1154946747
Internal Medicine in Wynnewood, PA

Active since June 10, 2020PECOS EnrolledAccepts Medicare Assignment
100 E LANCASTER AVE, WYNNEWOOD, PA 19096(484) 476-6421(484) 476-3149 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2025, Jun 10, 2020 (2 updates tracked since 2020).

About Dr. Samuel Philip Mellits Md NPPES

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

DR. SAMUEL PHILIP MELLITS MD (NPI 1154946747) is an individual internal medicine provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (MD491915) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Main Line Hospital Lankenau, and maintains a secondary practice location in Wynnewood.

NPPES Registry Identity

NPI1154946747
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SAMUEL PHILIP MELLITSCredential: MD
Location Address100 E LANCASTER AVEWynnewood, PA 19096-3450
Mailing Address3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336
Fax(484) 476-3149
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 10, 2020
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
NPI 1154946747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD491915
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.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MT221221 (PA)
100 E LANCASTER AVE, Wynnewood, PA 19096

Secondary Practice Location 1

Location 1100 E Lancaster Ave Ste 301Wynnewood, PA 19096-3446 · Phone (484) 476-4650 · Fax (484) 476-2422

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

Dr. Samuel Philip Mellits Md 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 ID1355846395
PECOS Enrollment IDI20250923000105
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19096 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Internal Medicine
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION, SUITE 4303
WYNNEWOOD, PA 19096
Pharmacist
100 E LANCASTER AVE, SUITE #12
WYNNEWOOD, PA 19096
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION STE 4303
WYNNEWOOD, PA 19096
Nurse Anesthetist, Certified Registered
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Hospitalist
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096

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 Samuel Mellits's NPI number?

The NPI number for Samuel Mellits is 1154946747. It was assigned to this individual provider in the NPPES registry on June 10, 2020.

Where is Samuel Mellits located?

Samuel Mellits practices at 100 E Lancaster Ave, Wynnewood, PA 19096. The listed phone number is (484) 476-6421.

What is Samuel Mellits's specialty?

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

Is Samuel Mellits enrolled in Medicare?

Yes. Samuel Mellits 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.

Is Samuel Mellits affiliated with any hospitals?

According to CMS data, Samuel Mellits is affiliated with Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Samuel Mellits was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.