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1851495394

NPI Code Detail

MEDICARE: DR. THOMAS J MELHAM MD

MEDICARE: DR. THOMAS J MELHAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	01039790A	IN
2	207R00000X	Internal Medicine Physician	01039790	IN
3	207RS0010X	Sports Medicine (Internal Medicine) Physician	01039790	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10784368	OTHER	IN	CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	ZMS16520	OTHER	IN	ENS
4	000000337600	OTHER	IN	ANTHEM

General Provider Information

NPI Number	:	1851495394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS J MELHAM MD

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 W UNIVERSITY AVE
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47303-3428
Country	:	US
Telephone Number	:	765-741-1515
Fax Number	:	765-751-5087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	04/16/2026

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Directions to “ DR. THOMAS J MELHAM MD” Practice Location

Language	Start Address	Practice Location

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