MELISSA VITALE MD
NPI 1639764590
Pediatrics - Child Abuse Pediatrics in Salt Lake City, UT

Q: What is Melissa Vitale's NPI number?

The NPI number for Melissa Vitale is 1639764590. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Q: What is Melissa Vitale's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Vitale was last updated on April 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 03, 2021PECOS Enrolled

295 S CHIPETA WAY RM 2S010, SALT LAKE CITY, UT 84108(801) 581-2121 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 26, 2024, Mar 3, 2021 (2 updates tracked since 2021).

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About Melissa Vitale Md NPPES

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

MELISSA VITALE MD (NPI 1639764590) is an individual child abuse pediatrics provider in Salt Lake City, Utah, licensed in Utah (13928338-1205) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1639764590

Entity TypeIndividualFemale

Primary Taxonomy2080C0008X

Provider Legal NameMELISSA VITALECredential: MD

Location Address295 S CHIPETA WAY RM 2S010Salt Lake City, UT 84108-1287

Mailing Address295 S Chipeta Way Rm 2s010Salt Lake City, UT 84108-1287 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Enumeration DateMarch 3, 2021

Last NPPES UpdateApril 26, 20242 updates tracked since enumeration

NPPES CertifiedApril 26, 2024

✔ NPI 1639764590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Child Abuse PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080C0008X

License✔ Licensed in UT · 13928338-1205

Definition

A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

295 S CHIPETA WAY RM 2S010, Salt Lake City, UT 84108

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Secondary Practice Location 1

Location 1620 John Paul Jones CirPortsmouth, VA 23708-2111 · Phone (757) 953-2339

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Vitale Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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