DR. MELISSA JAYNE LE ROUX (MD) – Internal Medicine Physician, NPI 1760018642

DR. MELISSA JAYNE LE ROUX (MD) is a healthcare provider. based in San diego, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A184727 (CA). The NPI Number for DR. MELISSA JAYNE LE ROUX (MD) is 1760018642

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELISSA JAYNE LE ROUX (MD)
NPI
1760018642
Phone
(619) 543-6268
Address
200 W ARBOR DR
Enumeration Date
23 March 2020
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8585549100
Graduation Year
2020 (6 years ago)
PAC ID
9436515558
Group Practice PAC ID
9234033853
Professional Enrollment ID
I20240725001827
Address ID
CA920371035LA10710RDXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for DR. MELISSA JAYNE LE ROUX (MD)

  • 200 W ARBOR DR

    SAN DIEGO, CA 921039000

    Phone: (619) 543-6268

    Type: Mailing

  • 10790 RANCHO BERNARDO RD

    SAN DIEGO, CA 921275705

    Phone: (858) 554-7272

    Type: Mailing

  • 10710 N TORREY PINES RD

    LA JOLLA, CA 920371035

    Phone: (858) 554-7272

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Lilly USA, LLC ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$33
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240725001827IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234033853View full group profile
NameSpecialtyState
N E U R O L O G YCA
-CA
Family PracticeCA
-CA
Internal MedicineCA
Emergency MedicineCA
Physician AssistantCA
-CA
Cardiovascular Disease (Cardiology), Internal MedicineCA
-CA

Reviews

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Frequently asked questions

Can I verify DR. MELISSA JAYNE LE ROUX (MD) with an NPI only?
You can start verification with NPI 1760018642 for DR. MELISSA JAYNE LE ROUX (MD), then check state licensing separately.
Does the file indicate DR. MELISSA JAYNE LE ROUX (MD) is practicing under active NPI?
Directory data currently reports DR. MELISSA JAYNE LE ROUX (MD) as active.
What is DR. MELISSA JAYNE LE ROUX (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. MELISSA JAYNE LE ROUX (MD) here. Clinical services aligned with this taxonomy classification.
Does DR. MELISSA JAYNE LE ROUX (MD) list a practice location?
Patients near San Diego, California may find DR. MELISSA JAYNE LE ROUX (MD) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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