Individual provider Active NPI

Melissa Marie Bombery, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Ann Arbor, MI
National Provider Identifier
1043474885
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
4301091981 Issued in MI
Practice address
1500 East Medical Center Dr
2ND Floor University Hospital Recp Pathology
Ann Arbor, MI 48109-5054
Phone
(800) 862-7284
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4301091981 MI Primary

Addresses

Primary practice location

1500 East Medical Center Dr
2ND Floor University Hospital Recp Pathology
Ann Arbor, MI 48109-5054

Mailing address

3621 South State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20121001000368 MI Practitioner - Pathology 6002065364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Michigan Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Pathology Specialists PCGroup PAC ID 4789576414, 31 clinicians

Practice addresses (Care Compare)

100 Michigan NE
Spectrum Butterworth
Grand Rapids, MI 49503-2560
Phone (616) 267-2660

35 Michigan St NE
Spectrum Health Reg Laboratory
Grand Rapids, MI 49503-2514
Phone (616) 267-2350

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021
  • Corewell Health Big Rapids Hospital Hospital, Big Rapids, MI, CCN 230093
  • Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035
  • Corewell Health Pennock Hospital Hospital, Hastings, MI, CCN 231339

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Pathology Specialists PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2014 Accepting new patients

Locations

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

145 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 486-5700

35 Michigan St NE
Ste MC56
Grand Rapids, MI 49503

35 Michigan St NE
Stop 56
Grand Rapids, MI 49503

1840 Wealthy St SE
Grand Rapids, MI 49506
Phone (616) 391-1730

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341

1009 W Green St
Hastings, MI 49058
Phone (269) 945-1212

418 Washington St
Lakeview, MI 48850
Phone (989) 352-6474

8333 Felch St
Ste 1
Zeeland, MI 49464

Organizations & group practices 1

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 5

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1043474885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 SOUTH STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095054",
            "telephone_number": "800-862-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBERY",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301091981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.