DR. MELVIN TOM JOSEPH DO
NPI 1306474986
Psychiatry & Neurology - Psychiatry in Downers Grove, IL
About Dr. Melvin Tom Joseph Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MELVIN TOM JOSEPH DO (NPI 1306474986) is an individual psychiatry provider in Downers Grove, Illinois, licensed in Illinois (036.171185) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Downers Grove, and is a graduate of Michigan State University College Of Osteopathic Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Dr. Melvin Tom Joseph 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.
Medicare Billing Reassignment
Medicare enrollment records show Melvin Joseph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Downers Grove, IL 60515
- Reassigned Medicare billing, Illinois enrollment
- 4,870 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60515 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DOWNERS GROVE, IL 60515
DOWNERS GROVE, IL 60515
DOWNERS GROVE, IL 60515
DOWNERS GROVE, IL 60515
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 Melvin Joseph's NPI number?
The NPI number for Melvin Joseph is 1306474986. It was assigned to this individual provider in the NPPES registry on March 30, 2020.
Where is Melvin Joseph located?
Melvin Joseph practices at 3743 Highland Ave Ste 2001, Downers Grove, IL 60515. The listed phone number is (630) 719-5454.
What is Melvin Joseph's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Melvin Joseph enrolled in Medicare?
Yes. Melvin Joseph 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 Melvin Joseph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melvin Joseph reassigns Medicare benefits to Advocate Health And Hospitals Corporation (Downers Grove, IL). 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 Melvin Joseph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melvin Joseph accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Melvin Joseph 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.
When was this NPI record last updated?
The NPPES record for Melvin Joseph was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.