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ANIBAL GONCALVES MELO MD
NPI 1861563421
Internal Medicine - Nephrology in Chesterfield, MO

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
89.23/100
CMS Quality Rating
224 S WOODS MILL RD, STE 460S, CHESTERFIELD, MO 63017(314) 682-6500(314) 552-7276 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anibal Goncalves Melo Md NPPES

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

ANIBAL GONCALVES MELO MD (NPI 1861563421) is an individual nephrology provider in Chesterfield, Missouri, licensed in Missouri (112089) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Washington University School Of Medicine (1991).

NPPES Registry Identity

NPI1861563421
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameANIBAL GONCALVES MELOCredential: MD
Location Address224 S WOODS MILL RD, STE 460SChesterfield, MO 63017-3608
Mailing Address224 S Woods Mill Rd, Ste 460sChesterfield, MO 63017-3608 · (314) 682-6500 · Fax (314) 552-7276
Phone(314) 682-6500
Fax(314) 552-7276
Sole ProprietorYes
Medical School CMSWashington University School Of MedicineGraduated 1991
Enumeration DateNovember 13, 2006
Last NPPES UpdateSeptember 27, 2016
✔ NPI 1861563421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in MO · 112089✔ Licensed in IL · 036097259
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
224 S WOODS MILL RD, Chesterfield, MO 63017
Open in Google Maps ↗

Other Names 1

Professional Name (2)Anibal G Melo Md

Other Identifiers 1

Medicare UPING49949MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Anibal Goncalves Melo 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 ID2961578554
PECOS Enrollment IDI20100121000628
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
327 services107 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
303 services93 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
302 services154 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
194 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
155 services111 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
124 services103 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.14
Improvement Activities40

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.

XIAOLING WU MD
Internal Medicine
224 S WOODS MILL RD, SUITE 370 SOUTH
CHESTERFIELD, MO 63017
St. Louis County (314) 878-2460
DIAGNOSTIC INTERNISTS, INC
Internal Medicine
224 S WOODS MILL RD, 410 S
CHESTERFIELD, MO 63017
St. Louis County (314) 878-7220
COUNTY INTERNAL MEDICINE LLC
Internal Medicine
224 S WOODS MILL RD, SUITE 370 SOUTH
CHESTERFIELD, MO 63017
St. Louis County (314) 628-9994
JOANNA ROOPKUMAR MD
Internal Medicine
224 S WOODS MILL RD
CHESTERFIELD, MO 63017
St. Louis County (314) 205-6050
MARY POMMIER MSN,RN,CS,GNP,CWS
Nurse Practitioner (Gerontology)
224 S WOODS MILL RD, 435-S
CHESTERFIELD, MO 63017
St. Louis County (314) 396-4762
PRECISION PLASTIC SURGERY PC
Plastic Surgery
224 S WOODS MILL RD, SUITE 450 SOUTH
CHESTERFIELD, MO 63017
St. Louis County (314) 843-0900
NEURODIAGNOSTICS, INC.
Psychiatry & Neurology (Neurology)
224 S WOODS MILL RD, SUITE 550S
CHESTERFIELD, MO 63017
St. Louis County (314) 434-3414
PRECISION PLASTIC SURGERY, PC ST. LUKES OFFICE
Specialist
224 S WOODS MILL RD, SUITE 450 SOUTH
CHESTERFIELD, MO 63017
St. Louis County (314) 843-0900

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 Anibal Melo's NPI number?

The NPI number for Anibal Melo is 1861563421. It was assigned to this individual provider in the NPPES registry on November 13, 2006. The provider is also known as Anibal G Melo MD.

Where is Anibal Melo located?

Anibal Melo practices at 224 S Woods Mill Rd Ste 460S, Chesterfield, MO 63017. The listed phone number is (314) 682-6500.

What is Anibal Melo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Anibal Melo enrolled in Medicare?

Yes. Anibal Melo 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 Anibal Melo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Anibal Melo 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.

Is Anibal Melo affiliated with any hospitals?

According to CMS data, Anibal Melo is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Anibal Melo was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.