Individual provider Active NPI

Melinda Ann Defilippo Szucs, DO

  • Family Medicine Physician
  • Broadview HTS, OH
National Provider Identifier
1083833925
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34009808 Issued in OH
Practice address
2001 E Royalton Rd
Broadview HTS, OH 44147
Phone
(440) 717-6100
Fax
(440) 516-1382
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34009808 OH Primary

Addresses

Primary practice location

2001 E Royalton Rd
Broadview HTS, OH 44147

Mailing address

2001 E Royalton Rd
Broadview HTS, OH 44147
Phone (440) 717-6100

Other identifiers 1

IdentifierTypeStateIssuer
3046680MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100624000684 OH Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6507997244 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34009808OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadview Heights Family Medicine, Inc Family Medicine CurrentSince May 10, 2010 Accepting new patients

Locations

2001 E Royalton Rd
Ste C
Broadview Heights, OH 44147
Phone (440) 717-6100

2001 E Royalton Rd
Broadview Hts, OH 44147
Phone (440) 717-5800

Interoperability endpoints

  • Direct secure messaging: melinda.defilippo.szucs.1@14940.direct.athenahealth.com
  • Direct secure messaging: mdefilipposzucs37485@ehrdirect.uhhospitals.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1083833925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E ROYALTON RD",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "44147",
            "telephone_number": "440-717-6100",
            "fax_number": "440-516-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E ROYALTON RD",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "44147",
            "telephone_number": "440-717-6100",
            "fax_number": "440-516-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFILIPPO SZUCS",
        "first_name": "MELINDA",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34009808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3046680",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview HTS, OH

Sources for this page

Verify at the official NPI Registry.