Individual provider Active NPI

Melissa May Bakar, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1013051408
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
249367 Issued in NY
Practice address
622 W 168TH St
New York, NY 10032-3720
Phone
(212) 935-5218
NPI assigned
Feb 18, 2007
Last updated
May 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 249367 NY
Internal Medicine Physician 207R00000X 249367 NY Primary

Addresses

Primary practice location

622 W 168TH St
New York, NY 10032-3720

Mailing address

630 W 168TH St
Box 4
New York, NY 10032-3725
Phone (212) 932-5218

Other practice location 1

445 New Karner Rd
Albany, NY 12205-3809
Phone (518) 724-0242

Other practice location 2

1101 Nott St
Schenectady, NY 12308-2425
Phone (518) 525-5064

Other practice location 3

433 River St Ste 3000
Troy, NY 12180-2250
Phone (518) 279-5700

Other practice location 4

1300 Massachusetts Ave
Troy, NY 12180-1628
Phone (518) 525-5064

Other identifiers 1

IdentifierTypeStateIssuer
03047858MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081018000084 NY Practitioner - Internal Medicine 0547328668 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
249367NYMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Sep 4, 2019 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Internal Medicine CurrentSince Aug 31, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Sep 4, 2019 Accepting new patients
St. Peter's Hospital of the City of Albany Internal Medicine Past Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine Past Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

433 River St
Ste 3000
Troy, NY 12180
Phone (518) 274-6200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mbakar788053@direct.trinity-health.org

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eddy Memorial Geriatric CenterTroy, NY, CCN 335680 Skilled nursing facility Adp of the SNF Jan 1, 2025
Eddy Heritage House Nursing and Rehabilitation CenterTroy, NY, CCN 335760 Skilled nursing facility Adp of the SNF Jan 1, 2025
Eddy Village Green CohoesCohoes, NY, CCN 335697 Skilled nursing facility Adp of the SNF Jan 1, 2025
Eddy Village Green at BeverwyckSlingerlands, NY, CCN 335860 Skilled nursing facility Adp of the SNF Jan 1, 2025
NursecoreClifton Park, NY, CCN 335774 Skilled nursing facility Adp of the SNF Jan 1, 2025
The Community Hospice IncAlbany, NY, CCN 331501 Hospice W-2 Managing Employee Jan 1, 2025

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1013051408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "address_2": "BOX 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-932-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-935-5218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 New Karner Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122053809",
            "country_code": "US",
            "telephone_number": "518-724-0242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Nott St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082425",
            "country_code": "US",
            "telephone_number": "518-525-5064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 River St Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802250",
            "country_code": "US",
            "telephone_number": "518-279-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801628",
            "country_code": "US",
            "telephone_number": "518-525-5064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKAR",
        "first_name": "MELISSA",
        "middle_name": "MAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "249367",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "249367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03047858",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP- Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "433 River St Ste 3000",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121802250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.