Active NPI
Melanie Omojola, CRNA
- Certified Registered Nurse Anesthetist
- Jamaica Plain, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 256308
- Practice address
- 1153 Centre St
Jamaica Plain, MA 02130-3446 - Phone
- (617) 983-7000
- NPI assigned
- Apr 17, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 256308 | MA | Primary |
Addresses
Primary practice location
1153 Centre St
Jamaica Plain, MA 02130-3446
Mailing address
1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000
Other names 1
- Melanie Sullivan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Boston University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Associated Physicians of Harvard Medical Faculty Physicians at Beth Is
Practice addresses (Care Compare)
1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000
125 Parker Hill Ave
Boston, MA 02120-2847
Phone (781) 453-7300
41 Highland Ave
Winchester, MA 01890-1446
Phone (781) 756-2190
585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3000
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Pratt Anesthesiology Associates, Inc | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients |
Locations
800 Washington St
#1
Boston, MA 02111
75 Francis St
Boston, MA 02115
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000
585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734
125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100
41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Anesthesiology Physician
- Boston, MA
- NPI 1326085390
-
- Pain Medicine (Anesthesiology) Physician
- Winchester, MA
- NPI 1972626117
-
- Diagnostic Radiology Physician
- Milton, MA
- NPI 1245773308
-
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
- Anesthesiology Physician
- Winchester, MA
- NPI 1427599588
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1265464598
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- General Acute Care Hospital
- Roxbury Crossing, MA
- NPI 1699767491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1275776486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 CENTRE ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021303446",
"telephone_number": "617-983-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1153 CENTRE ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021303446",
"telephone_number": "617-983-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOJOLA",
"first_name": "MELANIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-17",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "256308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "SULLIVAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.