DR. COOPER JAMES MELLEMA M.D., PHD
NPI 1346093325
Student in an Organized Health Care Education/Training Program in Lititz, PA

Active since April 09, 2024PECOS Enrolled
1500 HIGHLANDS DRIVE, UPMC LITITZ, LITITZ, PA 17543(717) 625-5668 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Cooper James Mellema M.d., Phd NPPES

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

DR. COOPER JAMES MELLEMA M.D., PHD (NPI 1346093325) is an individual student in an organized health care education/training program in Lititz, Pennsylvania and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346093325
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. COOPER JAMES MELLEMACredential: M.D., PHD
Location Address1500 HIGHLANDS DRIVE, UPMC LITITZLititz, PA 17543
Mailing Address3600 Forbes Avenue, Forbes Tower-plaza Level Suite 140Pittsburgh, PA 15213
Sole ProprietorNo
Enumeration DateApril 9, 2024
NPI 1346093325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 HIGHLANDS DRIVE, UPMC LITITZ, Lititz, PA 17543

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Cooper James Mellema M.d., Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Cooper Mellema's NPI number?

The NPI number for Cooper Mellema is 1346093325. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Cooper Mellema located?

Cooper Mellema practices at 1500 Highlands Drive, Upmc Lititz, Lititz, PA 17543. The listed phone number is (717) 625-5668.

What is Cooper Mellema's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cooper Mellema enrolled in Medicare?

Yes. Cooper Mellema is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cooper Mellema was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.