Individual provider Active NPI

Daniel F Melville, MD

  • Family Medicine Physician
  • Jamaica Plain, MA
National Provider Identifier
1346241569
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80675 Issued in MA
Practice address
545 A Centre St
Beth Israel Deaconess Health Care - Jamaica Plain
Jamaica Plain, MA 02130-2071
Phone
(617) 522-5464
Fax
(617) 524-2966
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 80675 MA Primary

Addresses

Primary practice location

545 A Centre St
Beth Israel Deaconess Health Care - Jamaica Plain
Jamaica Plain, MA 02130-2071

Mailing address

545 A Centre St
Beth Israel Deaconess Health Care - Jamaica Plain
Jamaica Plain, MA 02130-2071
Phone (617) 522-5464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060331000297 MA Practitioner - Family PracticePractitioner - Internal Medicine 9133137243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

93 Pond St
Sharon, MA 02067-2015
Phone (781) 784-9212

Hospital & facility affiliations

  • Visiting Nurse Association of Boston Home health agency, Dorchester, MA, CCN 227068
  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086
  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108
  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80675MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caritas Medical Group, Inc. Current Accepting new patients
Medical Care of Boston Management Corporation CurrentSince May 1, 2008 Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782

3525 Washington St
Ste 100
Jamaica Plain, MA 02130
Phone (617) 263-7555

545A Centre St
Jamaica Plain, MA 02130
Phone (617) 522-5464

100 West St
Needham Hgts, MA 02494
Phone (781) 234-6300

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

Interoperability endpoints

  • Direct secure messaging: dmelville252614@direct.bilh.masshiway.net

Organizations & group practices 3

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 3

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1346241569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 A CENTRE ST",
            "address_2": "BETH ISRAEL DEACONESS HEALTH CARE - JAMAICA PLAIN",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302071",
            "telephone_number": "617-522-5464",
            "fax_number": "617-524-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 A CENTRE ST",
            "address_2": "BETH ISRAEL DEACONESS HEALTH CARE - JAMAICA PLAIN",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302071",
            "telephone_number": "617-522-5464",
            "fax_number": "617-524-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVILLE",
        "first_name": "DANIEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "80675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.