DR. MELISSA MARCELO MONDALA
NPI 1881072239
Family Medicine in Newport Beach, CA

Q: What is Melissa Mondala's NPI number?

The NPI number for Melissa Mondala is 1881072239. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Q: What is Melissa Mondala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Melissa Mondala enrolled in Medicare?

No. Melissa Mondala has opted out of Medicare through June 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Melissa Mondala was last updated on December 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 18, 2015Opted out of Medicare · through Jun 21, 2027

1501 WESTCLIFF DR STE 201, NEWPORT BEACH, CA 92660(949) 569-8877(949) 289-2612 Get Directions Write a Review

NPPES record last updated: December 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2021, Jul 23, 2020, Sep 12, 2019 and 1 more (4 updates tracked since 2018).

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About Dr. Melissa Marcelo Mondala NPPES

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

DR. MELISSA MARCELO MONDALA (NPI 1881072239) is an individual family medicine provider in Newport Beach, California, licensed in California (A147084) and active in the NPI registry since May 2015. She has opted out of Medicare through June 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1881072239

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MELISSA MARCELO MONDALA

Location Address1501 WESTCLIFF DR STE 201Newport Beach, CA 92660-5518

Mailing Address16002 Legacy Rd Unit 215Tustin, CA 92782-2782 · (909) 837-0735

Phone(949) 569-8877

Fax(949) 289-2612

Sole ProprietorNo

Enumeration DateMay 18, 2015

Last NPPES UpdateDecember 12, 20214 updates tracked since enumeration

NPPES CertifiedDecember 12, 2021

✔ NPI 1881072239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A147084

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License A147084 (CA)

1501 WESTCLIFF DR STE 201, Newport Beach, CA 92660

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Melissa Marcelo Mondala has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 21, 2021 through June 21, 2027.

Opt-Out Effective DateJune 21, 2021

Opt-Out In Effect ThroughJune 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 7

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

JILL RYAN PA

Physician Assistant