Active NPI
Melissa Elaine Groves, M.D.
- Obstetrics & Gynecology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 292854
- Practice address
- 268 Canal St
New York, NY 10013-3599 - Phone
- (212) 966-0228
- Fax
- (212) 379-6935
- NPI assigned
- Apr 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D77675 | MD | |
| Obstetrics & Gynecology Physician | 207V00000X | D0077675 | MD | |
| Obstetrics & Gynecology Physician | 207V00000X | 292854 | NY | Primary |
Addresses
Primary practice location
268 Canal St
New York, NY 10013-3599
Mailing address
125 Walker St
New York, NY 10013-4135
Phone (212) 226-8866
Other practice location 1
2 Park Ave
Yonkers, NY 10703-3402
Phone (914) 964-7862
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05354063 | Medicaid | NY | |
| 422962200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0077675 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc. | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Sun River Health Inc | Current | Accepting new patients | |
| Charles B. Wang Community Health Center, Inc. | Past | Accepting new patients | |
| St. John'S Riverside Hospital | Past | Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
6 Henry St
Beacon, NY 12508
Phone (845) 831-0400
2 Park Ave
Yonkers, NY 10703
Phone (914) 964-7300
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mgroves3944202@nychhc.direct-ci.com
- mgroves@1120.direct.myezyaccess.com
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- melissa.groves@hrh.eclinicaldirectplus.com
- mgroves787868@direct.ochin.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
-
- Surgery Physician
- Bowie, MD
- NPI 1205154853
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1417261298
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1174840516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WALKER ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134135",
"telephone_number": "212-226-8866",
"fax_number": "212-226-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 CANAL ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133599",
"telephone_number": "212-966-0228",
"fax_number": "212-379-6935"
}
],
"practiceLocations": [
{
"address_1": "2 Park Ave",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107033402",
"country_code": "US",
"telephone_number": "914-964-7862",
"fax_number": "845-765-9396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROVES",
"first_name": "MELISSA",
"middle_name": "ELAINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D77675",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0077675",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "292854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05354063",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "422962200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.