DR. MELINA C KALTAK D.O.
NPI 1851631287
Obstetrics & Gynecology in Dearborn, MI

Q: What is Melina Kaltak's NPI number?

The NPI number for Melina Kaltak is 1851631287. It was assigned to this individual provider in the NPPES registry on February 21, 2013. The provider is also known as Melina Custovic D.O..

Q: What is Melina Kaltak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melina Kaltak was last updated on November 23, 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.

Active since February 21, 2013PECOS EnrolledAccepts Medicare Assignment

25080 MICHIGAN AVE, DEARBORN, MI 48124(313) 730-8880(313) 730-1167 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2020, Oct 22, 2019 (2 updates tracked since 2019).

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About Dr. Melina C Kaltak D.o. NPPES

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

DR. MELINA C KALTAK D.O. (NPI 1851631287) is an individual obstetrics & gynecology provider in Dearborn, Michigan, licensed in Michigan (5101025391) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and maintains a secondary practice location in Urbana.

NPPES Registry Identity

NPI1851631287

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. MELINA C KALTAKCredential: D.O.

Location Address25080 MICHIGAN AVEDearborn, MI 48124-1740

Mailing Address25080 Michigan AveDearborn, MI 48124-1740 · (313) 730-8880 · Fax (313) 730-1167

Phone(313) 730-8880

Fax(313) 730-1167

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013

Enumeration DateFebruary 21, 2013

Last NPPES UpdateNovember 23, 20202 updates tracked since enumeration

NPPES CertifiedNovember 23, 2020

✔ NPI 1851631287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · 5101025391

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.

25080 MICHIGAN AVE, Dearborn, MI 48124

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Other Names 1

Former Name (1)Melina Custovic D.o.

Secondary Practice Location 1

Location 1611 W Park StUrbana, IL 61801-2529 · Phone (217) 383-3140 · Fax (217) 383-4966

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Melina C Kaltak 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 ID6103058136

PECOS Enrollment IDI20200627000192

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.

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

19 services19 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

12 services12 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230020

Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County

Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 6

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

DEARBORN OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES, P.C.

Obstetrics & Gynecology (Gynecology)