Individual provider Active NPI

Melissa Marie Fujan, D.O.

  • Obstetrics & Gynecology Physician
  • North Miami, FL
National Provider Identifier
1013327808
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS15486 Issued in FL
Practice address
11645 Biscayne Blvd Ste 207
North Miami, FL 33181
Phone
(661) 326-2000
NPI assigned
May 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS15486 FL Primary

Addresses

Primary practice location

11645 Biscayne Blvd Ste 207
North Miami, FL 33181

Mailing address

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 326-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190207002567 FL Practitioner - Obstetrics/Gynecology 3678811189 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Practices of MSMC LLCGroup PAC ID 9436336120, 180 clinicians

Practice addresses (Care Compare)

4302 Alton Rd
Miami, FL 33140-2890
Phone (305) 674-2655

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15486FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 2, 2024 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 2, 2024 Accepting new patients
Miami Beach Community Health Center Inc CurrentSince Jan 1, 2019 Accepting new patients
Physician Practices of MSMC, LLC CurrentSince Aug 26, 2019 Accepting new patients
Miami Beach Community Health Center Inc Current Accepting new patients
Miami Beach Community Health Center Inc CurrentSince Jan 1, 2019 Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

4302 Alton Rd
Ste 920
Miami Beach, FL 33140
Phone (305) 672-4222

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

710 Alton Rd
Miami Beach, FL 33139

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

11645 Biscayne Blvd
Ste 207
North Miami, FL 33181
Phone (704) 297-9229

11645 Biscayne Blvd
Ste 103
North Miami, FL 33181

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Networks

  • FL HMO C-SNP
  • FL HMO D-SNP
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • AL HMO D-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • FL HMO
  • AL HMO

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1013327808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MOUNT VERNON AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93306",
            "telephone_number": "661-326-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD STE 207",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33181",
            "telephone_number": "661-326-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJAN",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS15486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.