Individual provider Active NPI

Melissa Gulosh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fredericksburg, VA
National Provider Identifier
1104266220
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301237 Issued in VA
Practice address
1500 Dixon St Ste 201
Fredericksburg, VA 22401-7231
Phone
(540) 374-5261
Fax
(540) 374-5066
NPI assigned
Jul 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301237 VA Primary

Addresses

Primary practice location

1500 Dixon St Ste 201
Fredericksburg, VA 22401-7231

Mailing address

1500 Dixon St Ste 201
Fredericksburg, VA 22401-7231
Phone (540) 374-5261

Other practice location 1

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-5911

Other practice location 2

5105 Som Center Rd
Willoughby, OH 44094-4203
Phone (440) 357-8418

Other practice location 3

325 Center St Ste 1
Chardon, OH 44024-1193
Phone (440) 285-2666

Other names 1

  • Melissa Curry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170811002824 OH Practitioner - Podiatry 2961773700 Reassigns benefits to 1 organization
I20180904001267 VA Practitioner - Podiatry 2961773700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 Dixon St
Suite 201
Fredericksburg, VA 22401-7231
Phone (540) 374-5261

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue239
Removal of skin lesions1-10
Removal of nail tissue643
Removal or shaving of skin growth121
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Sep 29, 2023 Accepting new patients
Lake County Foot & Ankle Associates, LLC Podiatrist CurrentSince Jul 1, 2017 Accepting new patients
Lake County Foot & Ankle Associates, LLC Podiatrist CurrentSince Jul 1, 2017 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Sep 29, 2023 Accepting new patients

Locations

325 Center St
Ste 1
Chardon, OH 44024
Phone (440) 285-2666

7482 Center St
Unit 100
Mentor, OH 44060
Phone (440) 305-7564

8334 Mentor Ave
Ste 100
Mentor, OH 44060
Phone 44035784188

66 Parkway Ln
Ste 102
Fishersville, VA 22939
Phone (540) 949-5150

1500 Dixon St
Ste 201
Fredericksburg, VA 22401
Phone (540) 374-5261

Interoperability endpoints

  • Direct secure messaging: mgulosh@ffaac-va.direct.office.nextgen.com
  • Direct secure messaging: mgulosh@usfas.emadirect.md

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1104266220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DIXON ST STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224017231",
            "telephone_number": "540-374-5261",
            "fax_number": "540-374-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DIXON ST STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224017231",
            "telephone_number": "540-374-5261",
            "fax_number": "540-374-5066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Woodland St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061051208",
            "country_code": "US",
            "telephone_number": "860-714-5911",
            "fax_number": "860-714-8885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5105 Som Center Rd",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440944203",
            "country_code": "US",
            "telephone_number": "440-357-8418",
            "fax_number": "440-255-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Center St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chardon",
            "state": "OH",
            "postal_code": "440241193",
            "country_code": "US",
            "telephone_number": "440-285-2666",
            "fax_number": "440-285-2456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULOSH",
        "first_name": "MELISSA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CURRY",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.