DR. MELISSA AMORITA BIEWENGA MD
NPI 1700147352
General Practice in San Diego, CA

Active since May 30, 2012PECOS EnrolledAccepts Medicare Assignment
4405 VANDEVER AVE, SAN DIEGO, CA 92120(800) 290-5000 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 23, 2023, Nov 29, 2021 (2 updates tracked since 2021).

About Dr. Melissa Amorita Biewenga Md NPPES

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

DR. MELISSA AMORITA BIEWENGA MD (NPI 1700147352) is an individual general practice provider in San Diego, California, licensed in California (A122243) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Drexel University College Of Medicine (2011).

NPPES Registry Identity

NPI1700147352
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. MELISSA AMORITA BIEWENGACredential: MD
Location Address4405 VANDEVER AVESan Diego, CA 92120-3315
Mailing Address4405 Vandever AveSan Diego, CA 92120-3315
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2011
Enumeration DateMay 30, 2012
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1700147352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A122243
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License DR.0071558 (CO)
4405 VANDEVER AVE, San Diego, CA 92120

Other Names 1

Former Name (1)Melissa Roth

Secondary Practice Location 1

Location 110350 E Dakota AveDenver, CO 80247-1314 · Phone (303) 338-4545

Other Identifiers 1

Other029468CO · Kaiser Commercial Number

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. Melissa Amorita Biewenga Md 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 ID2567684434
PECOS Enrollment IDI20231102000698
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 Melissa Biewenga reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1023425972 (California)
  • 13,921 clinicians in this Medicare group
Internal Medicine
10350 E DAKOTA AVE
Denver, CO 80247
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Colorado Permanente Medical Group PC
  • 1,715 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Advanced Practice Midwife
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Pathology (Blood Banking & Transfusion Medicine)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Nurse Anesthetist, Certified Registered
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Psychiatry & Neurology (Psychiatry)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Urology
4405 VANDEVER AVE, UROLOGIC SURGERY
SAN DIEGO, CA 92120
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Family Medicine
4405 VANDEVER AVE
SAN DIEGO, CA 92120

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 Melissa Biewenga's NPI number?

The NPI number for Melissa Biewenga is 1700147352. It was assigned to this individual provider in the NPPES registry on May 30, 2012. The provider is also known as Melissa Roth.

Where is Melissa Biewenga located?

Melissa Biewenga practices at 4405 Vandever Ave, San Diego, CA 92120. The listed phone number is (800) 290-5000.

What is Melissa Biewenga's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Melissa Biewenga enrolled in Medicare?

Yes. Melissa Biewenga 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 Melissa Biewenga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Biewenga reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (San Diego, CA) and Colorado Permanente Medical Group, P.C. (Denver, CO). 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 Melissa Biewenga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Biewenga was last updated on October 23, 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.