Active NPI
Melissa Elana Melvin, M.D.
- Surgery Physician
- Ypsilanti, MI
National Provider Identifier
1316263890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301093845
- Practice address
- 5325 Elliott Dr
Agvs
Ypsilanti, MI 48197-8633 - Phone
- (734) 712-8150
- NPI assigned
- Apr 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301093845 | MI | Primary |
Addresses
Primary practice location
5325 Elliott Dr
Agvs
Ypsilanti, MI 48197-8633
Mailing address
2096 Whispering Woods CT
Ann Arbor, MI 48103-2183
Phone (734) 929-2241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301093845 | MI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1316263890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2096 WHISPERING WOODS CT",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481032183",
"telephone_number": "734-929-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 ELLIOTT DR",
"address_2": "AGVS",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481978633",
"telephone_number": "734-712-8150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELVIN",
"first_name": "MELISSA",
"middle_name": "ELANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-09",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301093845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.