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: July 19, 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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D0970368
Facility Type
Physician Office
Certificate Effective Date
February 11, 2026
Certificate Expiration Date
February 10, 2028
Laboratory Director
NICK MELLIS MD,PA
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Nick Mellis Md Pa in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine
2352 YORK RD
TIMONIUM, MD 21093

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518298389, enumerated as an "organization" on January 19, 2010.

The provider is located at 2352 YORK RD TIMONIUM, MD 21093 and the phone number is (410) 560-5652.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.