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DR. SIMEON A MELAKU D.O
NPI 1609300870
Family Medicine in Rockwall, TX

Active since April 14, 2017PECOS EnrolledAccepts Medicare Assignment
2265 N LAKESHORE DR STE 101, ROCKWALL, TX 75087(972) 771-2500(972) 722-4550 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2026, Mar 13, 2023, Sep 28, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Simeon A Melaku D.o NPPES

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

DR. SIMEON A MELAKU D.O (NPI 1609300870) is an individual family medicine provider in Rockwall, Texas, licensed in Texas (W2320) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Novant Prince William Medical Center, and maintains a secondary practice location in Zion Crossroads.

NPPES Registry Identity

NPI1609300870
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SIMEON A MELAKUCredential: D.O
Location Address2265 N LAKESHORE DR STE 101Rockwall, TX 75087-3210
Mailing AddressPo Box 748613Atlanta, GA 30374-8613
Phone(972) 771-2500
Fax(972) 722-4550
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2017
Enumeration DateApril 14, 2017
Last NPPES UpdateMarch 17, 20264 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1609300870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · W2320✔ Licensed in VA · 0102206269
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X · License W2320 (TX)
2265 N LAKESHORE DR STE 101, Rockwall, TX 75087
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Secondary Practice Location 1

Location 11015 Spring Creek PkwyZion Crossroads, VA 22942-7019 · Phone (434) 243-9466 · Fax (434) 243-9499

Other Identifiers 1

Medicaid1609300870VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Simeon A Melaku D.o 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 ID5193145159
PECOS Enrollment IDI20201014000751, I20260324001865
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Simeon Melaku reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Health Physicians Group
18 mi
Internal Medicine
8440 WALNUT HILL LN STE 800
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1053767897 (214) 860-6300
Nmg Affiliate Practice I LLC
918 mi
Cardiovascular Disease
812 WEST STUART DRIVE
Galax, VA 24333
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Uva Community Health Medical Group LLC
  • 584 clinicians in this Medicare group
NPI 1639474240 (276) 238-3318

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
103 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670044
Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75087 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers31 claims66 services$5.28 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims11 services$1.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$21.30 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers19 claims19 services$7.82 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$11.92 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims24 services$13.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

KENNETH R BERNAL DO
Family Medicine
2265 N LAKESHORE DR STE 101
ROCKWALL, TX 75087
Rockwall County (972) 771-2500
MRS. CRYSELDA TREVINO PA
Physician Assistant
2265 N LAKESHORE DR STE 101
ROCKWALL, TX 75087
Rockwall County (972) 771-2500

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 Simeon Melaku's NPI number?

The NPI number for Simeon Melaku is 1609300870. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Simeon Melaku located?

Simeon Melaku practices at 2265 N Lakeshore Dr Ste 101, Rockwall, TX 75087. The listed phone number is (972) 771-2500.

What is Simeon Melaku's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Simeon Melaku enrolled in Medicare?

Yes. Simeon Melaku 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.

Which organizations bill Medicare for Simeon Melaku's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simeon Melaku reassigns Medicare benefits to 2 organizations: Texas Health Physicians Group (Dallas, TX) and Nmg Affiliate Practice I LLC (Galax, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Simeon Melaku's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simeon Melaku accept?

Health plans from Antidote Health of TX and Blue Cross and Blue Shield of Texas list Simeon Melaku as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Simeon Melaku affiliated with any hospitals?

According to CMS data, Simeon Melaku is affiliated with Novant Prince William Medical Center, Uva Health Haymarket Medical Center and Texas Health Presbyterian Hospital Rockwall.

When was this NPI record last updated?

The NPPES record for Simeon Melaku was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.