Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angelica Melillo Knickerbocker, MD, MPH

Individual provider Obstetrics & Gynecology Physician · NPI 1790148591

Angelica Melillo Knickerbocker, MD, MPH is an Obstetrics/Gynecology in Dallas, Texas. Qualified in 2016, 10 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
10
Licensed in
FL, TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

1330 N Beckley Ave
Dallas, TX 75203-1271
Phone: (214) 941-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1611 Nw 12th Ave, Miami, FL 33136-1005 — (305) 585-5640

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence S4798 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (FL)

Record details

NPI number1790148591
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedMarch 30, 2016
Last updated in NPPESAugust 7, 2020
Certification dateAugust 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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