DAVID ISAIAS ORTIZ MELO M.D.
NPI 1306046776
Internal Medicine - Nephrology in Durham, NC

Active since July 23, 2007PECOS EnrolledAccepts Medicare Assignment
40 DUKE MEDICINE CIR, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David Isaias Ortiz Melo M.d. NPPES

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

DAVID ISAIAS ORTIZ MELO M.D. (NPI 1306046776) is an individual nephrology provider in Durham, North Carolina, licensed in North Carolina (2014-01127) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1306046776
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDAVID ISAIAS ORTIZ MELOCredential: M.D.
Location Address40 DUKE MEDICINE CIRDurham, NC 27710-4000
Mailing AddressPo Box 63362Charlotte, NC 28263-3362 · (919) 684-8111
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 23, 2007
Last NPPES UpdateJune 3, 2014
NPI 1306046776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NC · 2014-01127
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301087506 (MI)
40 DUKE MEDICINE CIR, Durham, NC 27710

Accepted Insurance

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

David Isaias Ortiz Melo M.d. 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 ID3375693203
PECOS Enrollment IDI20140708000556
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 13

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
228 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
174 services137 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
117 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
102 services38 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
70 services42 patients
Dialysis procedure including 1 evaluation 90945
Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.
50 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Person Memorial Hospital

Acute Care Hospitals · Roxboro, NC
OwnershipProprietary
CMS Certification Number340159
Location615 Ridge RdRoxboro, NC 27573 · Person County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
10 suppliers86 claims8,220 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers47 claims4,500 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims1,650 services$0.50 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers54 claims6,480 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers30 claims4,356 services$0.88 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
11 suppliers98 claims98 services$18.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine (Cardiovascular Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Physician Assistant
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine (Pulmonary Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Speech-Language Pathologist
40 DUKE MEDICINE CIR, CLINIC 1I
DURHAM, NC 27710
Internal Medicine (Gastroenterology)
40 DUKE MEDICINE CIR, DUKE CLINIC 2H
DURHAM, NC 27710
Student in an Organized Health Care Education/Training Program
40 DUKE MEDICINE CIR
DURHAM, NC 27710

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 Ortiz Melo's NPI number?

The NPI number for David Ortiz Melo is 1306046776. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is David Ortiz Melo located?

David Ortiz Melo practices at 40 Duke Medicine Cir, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is David Ortiz Melo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is David Ortiz Melo enrolled in Medicare?

Yes. David Ortiz Melo 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.

What insurance does David Ortiz Melo accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list David Ortiz Melo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Ortiz Melo affiliated with any hospitals?

According to CMS data, David Ortiz Melo is affiliated with Duke University Hospital, Duke Regional Hospital and Person Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Ortiz Melo was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.