RAUN MELMED MD
NPI 1407876808
Pediatrics - Developmental - Behavioral Pediatrics in Scottsdale, AZ

NPI Status: Active since July 20, 2006

Contact Information

4848 E CACTUS RD STE 940
SCOTTSDALE, AZ
ZIP 85254
Phone: (480) 443-0050

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  • Individual
  • Male
  • Pediatrics
  • Developmental - Behavioral Pediatrics
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About RAUN MELMED

This page provides the complete NPI Profile along with additional information for Raun Melmed, a pediatrician established in Scottsdale, Arizona with a medical specialization in Pediatrics, focusing in developmental - behavioral pediatrics . The healthcare provider is registered in the NPI registry with number 1407876808 assigned on July 2006. The practitioner's primary taxonomy code is 2080P0006X with license number 13127 (AZ). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1407876808
Provider Name
RAUN MELMED MD
Gender
Male
Entity Type
Individual
Location Address
4848 E CACTUS RD STE 940 SCOTTSDALE, AZ 85254
Location Phone
(480) 443-0050
Mailing Address
12400 N TATUM BLVD UNIT 2024 PHOENIX, AZ 85032
Mailing Phone
(480) 205-7903
Is Sole Proprietor?
Yes
Enumeration Date
07-20-2006
Last Update Date
05-21-2025
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A pediatrician like Raun Melmed is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Raun Melmed opted out of Medicare effective on 12-07-2016 until 12-07-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Developmental - Behavioral Pediatrics

Taxonomy Code
2080P0006X
Type
Allopathic & Osteopathic Physicians
License No.
13127
License State
AZ
Taxonomy Description
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Raun Melmed is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 12-07-2016

  • Opt-Out End Date: 12-07-2026

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407876808, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 1 + 6 + 7 + 1 + 2 + 8 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1407876808.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Psychologist (Clinical Child & Adolescent)
4848 E CACTUS RD STE 940
SCOTTSDALE, AZ 85254
Psychologist (Clinical Child & Adolescent)
4848 E CACTUS RD STE 940
SCOTTSDALE, AZ 85254
Behavior Analyst
4848 E CACTUS RD STE 940
SCOTTSDALE, AZ 85254
Behavior Analyst
4848 E CACTUS RD STE 940
SCOTTSDALE, AZ 85254
Pediatrics (Developmental - Behavioral Pediatrics)
4848 E CACTUS RD STE 940
SCOTTSDALE, AZ 85254
Psychologist (Clinical)
4848 E CACTUS RD STE 940
SCOTTSDALE, AZ 85254
Behavior Technician
4848 E CACTUS RD STE 940
SCOTTSDALE, AZ 85254
Nurse Practitioner
4848 E CACTUS RD STE 940
SCOTTSDALE, AZ 85254
Behavior Analyst
4848 E CACTUS RD STE 940
SCOTTSDALE, AZ 85254
Pediatrics (Developmental - Behavioral Pediatrics)
4848 E CACTUS RD STE 940
SCOTTSDALE, AZ 85254
Behavior Analyst
4848 E CACTUS RD STE 940
SCOTTSDALE, AZ 85254

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407876808, enumerated as an "individual" on July 20, 2006.

The provider is located at 4848 E CACTUS RD STE 940 SCOTTSDALE, AZ 85254 and the phone number is (480) 443-0050.

Pediatrics with taxonomy code 2080P0006X and a focus in Developmental - Behavioral Pediatrics.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to verify.