Tina Melanson M.D.
About this NPIWhat this record shows.
NPI 1437125119 is registered to Tina Melanson M.D., a Nephrology Physician practising at 1001 E 21st St, Ste. 300 in Sioux Falls, South Dakota. Nephrology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Tina Melanson M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.
Beyond the registryWhat this record adds.
This record carries 17 secondary identifiers beyond the base NPI: Medicaid and other payer cross-references used by billers and credentialers, which the standard CMS NPPES lookup does not surface. It is enrolled in Medicare, linking to 2 PECOS enrollment records (each with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 34 Nephrology Physician providers on file in South Dakota.
Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 1706711SD· Issued by ARAZ/ AMERICA'S PPO
- 300T3MEMN· Issued by BLUE CROSS
- 390008566SD· Issued by RR MEDICARE
- 0040703SD· Issued by BLUE CROSS
- 28925SD· Issued by SANFORD HEALTH PLAN
- 5105SD· Issued by DAKOTACARE
- HP38411SD· Issued by HEALTHPARTNERS
- 237914SD· Issued by MIDLANDS CHOICE
- 406751032068SD· Issued by PREFERRED ONE
- 300T3MEMN· Issued by CC SYSTEMS/ BLUE PLUS
- 3100148SD· Issued by MEDICA
- 57105P005SD· Issued by WPS TRICARE
Medicaid
- 6630830SD
- 0560631IA
- 12903ND
- 46022474344NE
- 891490700MN
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20100218000325NephrologySD
- I20100927000540NephrologyMN
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Tina Melanson M.D. accepts. To confirm in-network status with your specific health plan, contact Tina Melanson M.D. directly at (605) 322-5800.
Frequently asked
Yes. NPI 1437125119 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Nephrology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (605) 322-5800.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Tina Melanson M.D. is a Type-1 individual NPI.
As of the latest monthly CMS NPPES snapshot, 34 Nephrology Physician providers are registered in South Dakota, and Tina Melanson M.D. is one of them. The figure refreshes each month from the federal source.