Individual provider Active NPI

Phoebe Lynn Mellen, M.D.

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1144601097
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD466786 Issued in PA
Practice address
840 Walnut St Ste 1230
Philadelphia, PA 19107-5109
Phone
(215) 928-3041
Fax
(215) 928-3225
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD466786 PA Primary

Addresses

Primary practice location

840 Walnut St Ste 1230
Philadelphia, PA 19107-5109

Mailing address

840 Walnut St Ste 1230
Philadelphia, PA 19107-5109
Phone (215) 928-3041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190715001644 PA Practitioner - Ophthalmology 4880996040 Reassigns benefits to 2 organizations
I20220927002379 WV Practitioner - Ophthalmology 4880996040 Reassigns benefits to 1 organization
I20250530001232 NJ Practitioner - Ophthalmology 4880996040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1940 State Hwy 70 E
Cherry Hill, NJ 08003-2141
Phone (267) 546-1100

51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 662-8100

Hospital & facility affiliations

  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD466786PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Jun 1, 2025 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jun 1, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Jun 1, 2025 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jun 1, 2025 Accepting new patients
Retina Vitreous Consultants Inc. Ophthalmology CurrentSince Jul 8, 2022 Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

1940 State Highway 70 E
Cherry Hill, NJ 08003
Phone (856) 424-7477

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

2000 Oxford Dr
Ste 670
Bethel Park, PA 15102
Phone (412) 683-5300

969 Eisenhower Blvd
Johnstown, PA 15904
Phone (412) 683-5151

300 Oxford Dr
Ste 300
Monroeville, PA 15146
Phone (412) 683-5300

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

221 Cabela Dr
Triadelphia, WV 26059
Phone (412) 349-8655

Interoperability endpoints

  • Direct secure messaging: phoebe.mellen.p1@direct.rvc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pmellen29949@tuftsmedicine.direct-ci.com

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 3

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1144601097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 1230",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3041",
            "fax_number": "215-928-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 1230",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3041",
            "fax_number": "215-928-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLEN",
        "first_name": "PHOEBE",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD466786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.