P Praxis·MD
● Active Type 1 · Individual

DR. Michael Gerardo Melendez, MD

Radiology·Coeur D Alene, ID· NPI 1013080787 · Enumerated 2006 · 19 years on NPI
Melendez is 1 of 62 radiology providers in Coeur D Alene and 1 of 248 in Idaho.
NPI age
19 years
Enumerated 2006-11-17
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
ID, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 248 active radiology providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
2789 E Spyglass Ct
Coeur D Alene, ID 83815
📞 2086100041fax 2087771313
Mailing address
2789 E Spyglass Ct
Coeur D Alene, ID 83815
📞 2087620288fax 2087771313

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    ID license #M-3755UT license #160913-1205 taxonomy 2085R0202X

Identifiers

TypeValueNotes
05 (WA) 8111379
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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