Individual provider Active NPI

Maria Cristina Chan-Mellana, MD

  • Internal Medicine Physician
  • Providence, RI
National Provider Identifier
1063650315
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD13267 Issued in RI
Practice address
40 Candace St
Providence, RI 02908-3747
Phone
(401) 444-0550
NPI assigned
Jan 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301109293 MI
Internal Medicine Physician 207R00000X MD13267 RI Primary

Addresses

Primary practice location

40 Candace St
Providence, RI 02908-3747

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Other practice location 1

4401 Campus Ridge Dr Ste 1100
Midland, MI 48640-6125
Phone (989) 837-9200

Other names 1

  • Dr. Maria Cristina Chan-Mellana Other name

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
I20161006000326 MI Practitioner - Internal Medicine 5496889651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

4401 N Campus RDG Dr
Midland, MI 48640-6112
Phone (989) 837-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301109293MIMDInternal Medicine Physician
MD13267RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc CurrentSince Sep 26, 2016 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 26, 2016 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Sep 1, 2018 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Sep 1, 2018 Accepting new patients

Locations

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

4401 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9280

4401 Campus Ridge Dr
Ste 1100
Midland, MI 48640
Phone (989) 837-9200

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

Interoperability endpoints

  • Direct secure messaging: mchan76470@mymichiganhealth.midirect.net

Organizations & group practices 4

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 7

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": "1232755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1063650315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CANDACE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083747",
            "telephone_number": "401-444-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Campus Ridge Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486406125",
            "country_code": "US",
            "telephone_number": "989-837-9200",
            "fax_number": "989-837-9205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN-MELLANA",
        "first_name": "MARIA",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-24",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301109293",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD13267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA CRISTINA",
            "last_name": "CHAN-MELLANA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.