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DR. GUSTAVO R MELAMEDOFF M.D.
NPI 1558374033
Internal Medicine in Astoria, NY

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
2531 30TH RD STE 1A, ASTORIA, NY 11102(718) 267-1102(718) 267-0847 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gustavo R Melamedoff M.d. NPPES

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

DR. GUSTAVO R MELAMEDOFF M.D. (NPI 1558374033) is an individual internal medicine provider in Astoria, New York, licensed in New York (148336) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1558374033
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GUSTAVO R MELAMEDOFFCredential: M.D.
Location Address2531 30TH RD STE 1AAstoria, NY 11102-2624
Mailing Address70 Shrub Hollow RdRoslyn, NY 11576-3110 · (516) 361-9520 · Fax (718) 267-0847
Phone(718) 267-1102
Fax(718) 267-0847
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateAugust 14, 2006
Last NPPES UpdateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1558374033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 148336
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.
2531 30TH RD STE 1A, Astoria, NY 11102
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Other Identifiers 1

Medicaid00767359NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gustavo R Melamedoff M.d. 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.

PECOS PAC ID3072527167
PECOS Enrollment IDI20060127000326
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DERELIS MOVILLA PA
Physician Assistant
2531 30TH RD STE 1A
ASTORIA, NY 11102
Queens County (718) 267-1102

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 Gustavo Melamedoff's NPI number?

The NPI number for Gustavo Melamedoff is 1558374033. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Gustavo Melamedoff located?

Gustavo Melamedoff practices at 2531 30th Rd Ste 1A, Astoria, NY 11102. The listed phone number is (718) 267-1102.

What is Gustavo Melamedoff's specialty?

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

Is Gustavo Melamedoff enrolled in Medicare?

Yes. Gustavo Melamedoff 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.

When was this NPI record last updated?

The NPPES record for Gustavo Melamedoff was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.