NICK MELLIS MD PA
NPI 1518298389
Internal Medicine in Timonium, MD

Active since January 19, 2010CLIA 21D0970368 · Microscopy
2352 YORK RD, TIMONIUM, MD 21093(410) 560-5652 Get Directions Write a Review

NPPES record last updated: September 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nick Mellis Md Pa NPPES

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

NICK MELLIS MD PA (NPI 1518298389) is a healthcare organization registered as an internal medicine in Timonium, Maryland and active in the NPI registry since January 2010. The organization holds a CLIA Microscopy certificate valid through February 10, 2028 and lists Nick Mellis, Owner, as its authorized official.

NPPES Registry Identity

NPI1518298389
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNICK MELLIS MD PA
Location Address2352 YORK RDTimonium, MD 21093-2236
Mailing Address2352 York RdTimonium, MD 21093-2236 · (410) 560-5652
Organization SubpartYesParent: Nicholas Mellis
Authorized OfficialNick MellisOwner · (410) 560-5652
Enumeration DateJanuary 19, 2010
Last NPPES UpdateSeptember 26, 2011
NPI 1518298389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D0047762
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.
2352 YORK RD, Timonium, MD 21093

Other Identifiers 3

Medicare PIN142RMD
Medicare UPING20385MD
Medicare PIN179188MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D0970368

Nick Mellis MD PA · Timonium, MD
Active · expires Feb 10, 2028
CLIA Number21D0970368
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2026
Certificate Expiration DateFebruary 10, 2028
Laboratory DirectorNick Mellis Md,pa
Laboratory Phone(410) 560-5652
Laboratory LocationNick Mellis MD PA2352 York Road, Timonium, MD 21093
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2352 YORK RD
TIMONIUM, MD 21093

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 Nick Mellis MD PA's NPI number?

The NPI number for Nick Mellis MD PA is 1518298389. It was assigned to this organization in the NPPES registry on January 19, 2010.

Where is Nick Mellis MD PA located?

Nick Mellis MD PA is located at 2352 York Rd, Timonium, MD 21093. The listed phone number is (410) 560-5652.

What is Nick Mellis MD PA's specialty?

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

Does Nick Mellis MD PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0970368) is associated with this NPI, valid through February 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nick Mellis MD PA was last updated on September 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.