Individual provider Active NPI

Melissa Elaine Groves, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1174840516
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
292854 Issued in NY
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

Updated by the provider on May 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05354063MedicaidNY
422962200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20141007000426 DC Practitioner - Obstetrics/Gynecology 9739309196 Reassigns benefits to 1 organization
I20181012001337 NY Practitioner - Obstetrics/Gynecology 9739309196 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0077675MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc. CurrentSince Sep 10, 2018 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 1, 2014 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

  • Direct secure messaging: mgroves3944202@nychhc.direct-ci.com
  • Direct secure messaging: mgroves@1120.direct.myezyaccess.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: melissa.groves@hrh.eclinicaldirectplus.com
  • Direct secure messaging: mgroves787868@direct.ochin.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.