Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael George Mellis, MD

Individual provider Otolaryngology Physician · NPI 1720052178

Michael George Mellis, MD is an Otolaryngology Physician in Reston, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1860 Town Center Dr Ste 225
Reston, VA 20190-5896
Phone: (703) 483-3610
Fax: (703) 483-3610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 0101042579 (VA)

Record details

NPI number1720052178
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJanuary 9, 2010
Mailing addressPo Box 17334, Baltimore, MD 21297-1334

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