JOHN MELLAS (MD) – Nephrology Physician, NPI 1497712079

JOHN MELLAS (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. R3E73 (MO). The NPI Number for JOHN MELLAS (MD) is 1497712079

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
JOHN MELLAS (MD)
NPI
1497712079
Phone
(314) 991-0137
Address
450 N New Ballas Rd Ste 204
Enumeration Date
27 April 2006
Last Update Date
20 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
3149910137
Graduation Year
1977 (49 years ago)
PAC ID
2062506132
Group Practice PAC ID
4082501804
Professional Enrollment ID
I20100116000292
Address ID
MO631416836SA450XXRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

319 NEPHROLOGY in MO

Provider Addresses for JOHN MELLAS (MD)

  • 450 N New Ballas Rd Ste 204

    Saint Louis, MO 631416836

    Phone: (314) 991-0137

    Fax: (314) 991-0603

    Type: Location

  • 1011 BOWLES AVE STE 220

    FENTON, MO 630262384

    Phone: (636) 681-3030

    Fax: (636) 326-1545

    Type: Mailing

  • 10004, Kennerly Road, Concord, Saint Louis County, Missouri, 63128, United States

    STE 374B

    ST LOUIS, MO 63128

    Phone: (314) 842-9669

    Fax: (314) 842-1017

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-01-16

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
I20100116000292INephrologyMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90960Dialysis services, 4 or more physician visits per month (20 years or older)31045$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes18281$0
99213Established patient office or other outpatient visit, 20-29 minutes8045$0
90937Hemodialysis procedure requiring repeated evaluation5225$0
90935Hemodialysis procedure with physician evaluation4516$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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Provider's Procedures

JOHN MELLAS (MD) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYMO90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older5417

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: 4082501804View full group profile
NameSpecialtyState
Nephrology, Internal MedicineMO
Nephrology, Internal MedicineMO
Nephrology, Internal MedicineMO
N E P H R O L O G YMO
Nurse PractitionerMO
Nephrology, Internal MedicineMO

Reviews

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Frequently asked questions

What is the standard ID for JOHN MELLAS (MD) in the U.S.?
In the U.S., JOHN MELLAS (MD) is identified by NPI 1497712079.
Should I treat JOHN MELLAS (MD) as an active provider?
Patients and plans typically see JOHN MELLAS (MD) as active in the national extract.
How should patients interpret JOHN MELLAS (MD)'s specialty?
The extract shows Nephrology Physician for JOHN MELLAS (MD). Clinical services aligned with this taxonomy classification.
What city is tied to JOHN MELLAS (MD)?
The directory associates JOHN MELLAS (MD) with Saint Louis, Missouri. Check all listed addresses for suites or satellite offices.
Who maintains JOHN MELLAS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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