ANGELICA MELILLO KNICKERBOCKER MD, MPH
NPI 1790148591
Obstetrics & Gynecology in Dallas, TX

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
1330 N BECKLEY AVE, DALLAS, TX 75203(214) 941-7200 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2020, Mar 30, 2016 (2 updates tracked since 2016).

About Angelica Melillo Knickerbocker Md, Mph NPPES

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

ANGELICA MELILLO KNICKERBOCKER MD, MPH (NPI 1790148591) is an individual obstetrics & gynecology provider in Dallas, Texas, licensed in Texas (S4798) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790148591
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANGELICA MELILLO KNICKERBOCKERCredential: MD, MPH
Location Address1330 N BECKLEY AVEDallas, TX 75203-1271
Mailing Address600 Ne 36th St Apt 1409Miami, FL 33137-3938 · (347) 880-0646
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 30, 2016
Last NPPES UpdateAugust 7, 20202 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
NPI 1790148591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in TX · S4798
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1330 N BECKLEY AVE, Dallas, TX 75203

Other Names 1

Former Name (1)Angelica Bianca Melillo

Secondary Practice Location 1

Location 11611 NW 12th AveMiami, FL 33136-1005 · Phone (305) 585-5640

Accepted Insurance

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

Angelica Melillo Knickerbocker Md, Mph 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 ID7810315405
PECOS Enrollment IDI20200831000186
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 75203 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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 14

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

Technician/Technologist (Ophthalmic)
1330 N BECKLEY AVE
DALLAS, TX 75203
Ophthalmology
1330 N BECKLEY AVE
DALLAS, TX 75203
Surgery
1330 N BECKLEY AVE, 102
DALLAS, TX 75203
Counselor
1330 N BECKLEY AVE, SUITE 101
DALLAS, TX 75203
Obstetrics & Gynecology
1330 N BECKLEY AVE
DALLAS, TX 75203
Obstetrics & Gynecology
1330 N BECKLEY AVE
DALLAS, TX 75203
Ophthalmology
1330 N BECKLEY AVE, SUITE 104
DALLAS, TX 75203
Obstetrics & Gynecology
1330 N BECKLEY AVE
DALLAS, TX 75203

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 Angelica Knickerbocker's NPI number?

The NPI number for Angelica Knickerbocker is 1790148591. It was assigned to this individual provider in the NPPES registry on March 30, 2016. The provider is also known as Angelica Bianca Melillo.

Where is Angelica Knickerbocker located?

Angelica Knickerbocker practices at 1330 N Beckley Ave, Dallas, TX 75203. The listed phone number is (214) 941-7200.

What is Angelica Knickerbocker's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Angelica Knickerbocker enrolled in Medicare?

Yes. Angelica Knickerbocker 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.

What insurance does Angelica Knickerbocker accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Angelica Knickerbocker 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.

When was this NPI record last updated?

The NPPES record for Angelica Knickerbocker was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.