NPIMap

Individual provider Active NPI

Melissa B Davis, MD

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1336100916
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35-07-1436-B Issued in OH
Practice address
471 E Broad St Ste 1400
Columbus, OH 43215-3806
Phone
(614) 228-7231
Fax
(614) 464-2281
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35-07-1436-B OH Primary

Addresses

Primary practice location

471 E Broad St Ste 1400
Columbus, OH 43215-3806

Mailing address

471 E Broad St
Suite 1400
Columbus, OH 43215-3842
Phone (614) 228-7231

Other identifiers 1

IdentifierTypeStateIssuer
2065367MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210001091 OH Practitioner - Diagnostic Radiology 7911803895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

111 S Grant Ave
Ohiohealth Grant Medical Center
Columbus, OH 43215-4701
Phone (614) 228-7231

4610 Sandwich CT
Dublin, OH 43016-8292
Phone (614) 798-9277

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Radiologists Inc Diagnostic Radiology Past Accepting new patients
Intelligent Imaging Resources LLC Diagnostic Radiology Past Accepting new patients
Osu Radiology LLC Diagnostic Radiology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mdavis131764@direct.bsmhealth.org

Organizations & group practices 4

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 7

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1336100916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E BROAD ST",
            "address_2": "SUITE 1400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153842",
            "telephone_number": "614-228-7231",
            "fax_number": "614-464-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 E BROAD ST STE 1400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153806",
            "telephone_number": "614-228-7231",
            "fax_number": "614-464-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MELISSA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-07-1436-B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2065367",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.