NPIMap

Individual provider Active NPI

Ellen Mellow, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1366444259
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
146454 Issued in NY
Practice address
115 E 57TH St
Ste 510
New York, NY 10022-2221
Phone
(212) 838-4114
Fax
(212) 838-4145
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 146454 NY Primary
Cardiovascular Disease Physician 207RC0000X 146454 NY

Addresses

Primary practice location

115 E 57TH St
Ste 510
New York, NY 10022-2221

Mailing address

121 E 60TH St
#2C
New York, NY 10022-1117
Phone (212) 838-4114

Other identifiers 1

IdentifierTypeStateIssuer
01166449MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040706000931 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486631678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
JS Weill Medical College, Cornell University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

184 E 70TH St
Unit 4
New York, NY 10021-5154
Phone (212) 287-7342

Hospital & facility affiliations

  • Hospital for Special Surgery Hospital, New York, NY, CCN 330270

Merit-based Incentive Payment System (MIPS)

Final score
94.38 of 100Reported as individual
Quality
99.46
Improvement activities
40
Cost
81.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ellen Mellow MD, PLLC Cardiovascular Disease CurrentSince Feb 26, 2021 Accepting new patients
Cardiovascular Imaging of Brooklyn, PC Cardiovascular Disease Past Accepting new patients
Cardiology Consultants of Ny PC Past Accepting new patients
Brooklyn Nuclear Spect Imaging, PC Internal Medicine Past Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC PastSince Jan 1, 2018 Accepting new patients
Cardiovascular Imaging of Brooklyn, PC Past Accepting new patients
Nuclear Cardiac and Medical Imaging Services, PC Cardiovascular Disease Past Accepting new patients

Locations

184 E 70th St
Unit 4
New York, NY 10021
Phone (212) 287-7342

184 E 70th St
#4
New York, NY 10021

184 E 70th St
New York, NY 10021
Phone (212) 734-6570

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFICCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFICCD/Endpoint/EFICCD
  • Direct secure messaging: elm2010@direct.nyp.org

Organizations & group practices 7

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 10

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1366444259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 60TH ST",
            "address_2": "#2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221117",
            "telephone_number": "212-838-4114",
            "fax_number": "212-838-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "STE 510",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222221",
            "telephone_number": "212-838-4114",
            "fax_number": "212-838-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOW",
        "first_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "146454",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "146454",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01166449",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.