CHARLI ATHENA MELLA (M.D.) – Internal Medicine Physician, NPI 1699203125
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,297 INTERNAL MEDICINE in TX
Provider Addresses for CHARLI ATHENA MELLA (M.D.)
479 WESTPARK WAY
EULESS, TX 760403957
Phone: (817) 358-5500
Fax: (817) 358-5511
Type: Location
BELOIT HEALTH SYSTEMS INC
1905 E. HUEBBE PARKWAY
BELOIT, WI 535111842
Phone: (608) 364-2293
Fax: (608) 364-5452
Type: Mailing
8740 Medical City Way
Fort Worth, TX 761772414
Phone: (817) 358-5500
Type: Location
Beloit Memorial Hospital, 1969, West Hart Road, City of Beloit, Rock County, Wisconsin, 53511, United States
1969 W. HART ROAD
BELOIT, WI 535112230
Phone: (608) 363-5971
Fax: (608) 363-5737
Type: Location
NORTHEAST TARRANT INTERNAL MEDICINE ASSOCIATES, LLP
479 WESTPARK WAY
EULESS, TX 76040
Phone: (817) 358-5500
Fax: (817) 358-5511
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $1,056.
Total Amount is formed as General ($1,056) + Research ($0) + Ownership ($0) = $1,056.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Novo Nordisk Inc ($265).
Total Amount
$1,056
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,056
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-08-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230816001086 | I | Internal Medicine | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 165 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 38 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 25 | 24 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 23 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 76040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Internal Medicine | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Family Practice | NE | |
| Family Practice | TX | |
| Family Practice | TX |
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