Active NPI
Aglisa Memia, MD
- Internal Medicine Physician
- Melrose, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 292146
- Practice address
- 585 Lebanon St
Melrose, MA 02176-3298 - Phone
- (781) 979-3861
- NPI assigned
- Jun 17, 2019
- Last updated
- Nov 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 292146 | MA | Primary |
Addresses
Primary practice location
585 Lebanon St
Melrose, MA 02176-3298
Mailing address
585 Lebanon St
Melrose, MA 02176-3298
Phone (781) 979-3861
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 Governors Ave
Medford, MA 02155-1643
Phone (781) 306-6000
Hospital & facility affiliations
- Care Dimensions, Inc
- Melrosewakefield Healthcare
- Tufts Medical Center
- Massachusetts General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.54 of 100
- Quality
- 84.62
- Improvement activities
- 40
- Cost
- 76.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Acute Care Specialists PC | Single Specialty | Current | Accepting new patients |
| Melrosewakefield Healthcare, Inc. | Single Specialty | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Melrose, MA
- NPI 1306134812
Single Specialty
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Danvers, MA
- NPI 1447344130
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
dba Tufts Medical Center
- General Acute Care Hospital
- Boston, MA
- NPI 1730132515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1346800810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 LEBANON ST",
"city": "MELROSE",
"state": "MA",
"postal_code": "021763298",
"telephone_number": "781-979-3861",
"fax_number": "781-979-3860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 LEBANON ST",
"city": "MELROSE",
"state": "MA",
"postal_code": "021763298",
"telephone_number": "781-979-3861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEMIA",
"first_name": "AGLISA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "292146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melrose, MA
- Melrose Orthodontics, PC
- Melrose Surgical Associates, PC
- Melrose Wakefield Cardiac Testing Partnership
- Melrose Wakefield Emergency Physicians, Inc.
- Melrose Wakefield Oral Surgery Inc.
- Enes Merzihic, DPT
- Metropolitan Anesthesia, LLC
- Metropolitan Urological Assoc PC
- Laura Micheli, MT-BC
- Thomas L Michelman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.