Provider Demographics
NPI:1053305946
Name:RAPELYEA, MELVIN SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:SETH
Last Name:RAPELYEA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11995 SINGLETREE LN
Mailing Address - Street 2:SUITE 500
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-5347
Mailing Address - Country:US
Mailing Address - Phone:952-595-1242
Mailing Address - Fax:952-935-2757
Practice Address - Street 1:4495 BEAR LAKE RD
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38506-3121
Practice Address - Country:US
Practice Address - Phone:952-595-1242
Practice Address - Fax:952-935-2757
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35735174400000X
TNMD00000357352085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4152703OtherBCBS PROVIDER NUMBER
300128237OtherRAILROAD MEDICARE
TN38698921Medicaid
MI4714334Medicaid
KY64056641Medicaid
MI4714334Medicaid
TN38698921Medicaid
300128237OtherRAILROAD MEDICARE