Active NPI
Melissa May Bakar, MD
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 249367
- Practice address
- 622 W 168TH St
New York, NY 10032-3720 - Phone
- (212) 935-5218
- NPI assigned
- Feb 18, 2007
- Last updated
- May 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03047858 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249367 | NY | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | Current | Accepting new patients |
| Weill Medical College of Cornell | Current | 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
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Eddy Memorial Geriatric Center | Skilled nursing facility | Adp of the SNF | Jan 1, 2025 |
| Eddy Heritage House Nursing and Rehabilitation Center | Skilled nursing facility | Adp of the SNF | Jan 1, 2025 |
| Eddy Village Green Cohoes | Skilled nursing facility | Adp of the SNF | Jan 1, 2025 |
| Eddy Village Green at Beverwyck | Skilled nursing facility | Adp of the SNF | Jan 1, 2025 |
| Nursecore | Skilled nursing facility | Adp of the SNF | Jan 1, 2025 |
| The Community Hospice Inc | 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.
-
dba Eddy Village Green at Beverwyck
- Skilled Nursing Facility
- Slingerlands, NY
- NPI 1619282704
Adp of the SNF
-
dba Eddy Cohoes Rehabilitation Center
- Skilled Nursing Facility
- Cohoes, NY
- NPI 1306885066
Adp of the SNF
-
dba Eddy Heritage House Nursing Center
- Skilled Nursing Facility
- Troy, NY
- NPI 1356395909
Adp of the SNF
-
- Skilled Nursing Facility
- Clifton Park, NY
- NPI 1114095171
Adp of the SNF
-
- Community Based Hospice Care Agency
- Albany, NY
- NPI 1588631733
W-2 Managing Employee
-
- Skilled Nursing Facility
- Troy, NY
- NPI 1609820265
Adp of the SNF
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.
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
Internal Medicine
-
dba Geriatrics Associates
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1831100882
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Internal Medicine
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.