RYAN HERBERT D'MELLO MD
NPI 1811688658
Student in an Organized Health Care Education/Training Program in St Louis Park, MN

Active since May 15, 2023PECOS Enrolled
6600 EXCELSIOR BLVD STE 160, ST LOUIS PARK, MN 55426(952) 993-7705 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan Herbert D'mello Md NPPES

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

RYAN HERBERT D'MELLO MD (NPI 1811688658) is an individual student in an organized health care education/training program in St Louis Park, Minnesota and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811688658
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN HERBERT D'MELLOCredential: MD
Location Address6600 EXCELSIOR BLVD STE 160St Louis Park, MN 55426-4713
Mailing Address6600 Excelsior Blvd Ste 160St Louis Park, MN 55426-4713 · (952) 993-7705
Sole ProprietorNo
Enumeration DateMay 15, 2023
NPPES CertifiedMay 15, 2023
NPI 1811688658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6600 EXCELSIOR BLVD STE 160, St Louis Park, MN 55426

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ryan Herbert D'mello 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.

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.

Student in an Organized Health Care Education/Training Program
6600 EXCELSIOR BLVD STE 160
SAINT LOUIS PARK, MN 55426
Student in an Organized Health Care Education/Training Program
6600 EXCELSIOR BLVD STE 160
ST LOUIS PARK, MN 55426
General Practice
6600 EXCELSIOR BLVD STE 160
ST LOUIS PARK, MN 55426
Student in an Organized Health Care Education/Training Program
6600 EXCELSIOR BLVD STE 160
ST LOUIS PARK, MN 55426
Family Medicine
6600 EXCELSIOR BLVD STE 160
ST LOUIS PARK, MN 55426
Family Medicine
6600 EXCELSIOR BLVD STE 160
ST LOUIS PARK, MN 55426
Family Medicine
6600 EXCELSIOR BLVD STE 160
ST LOUIS PARK, MN 55426
Family Medicine
6600 EXCELSIOR BLVD STE 160
ST LOUIS PARK, MN 55426

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 Ryan D'mello's NPI number?

The NPI number for Ryan D'mello is 1811688658. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Ryan D'mello located?

Ryan D'mello practices at 6600 Excelsior Blvd Ste 160, St Louis Park, MN 55426. The listed phone number is (952) 993-7705.

What is Ryan D'mello's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan D'mello enrolled in Medicare?

Yes. Ryan D'mello is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan D'mello was last updated on May 15, 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.