Individual provider Active NPI

Melissa Kay Gates, D.O.

  • Family Medicine Physician
  • Marshall, MI
National Provider Identifier
1417362039
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101021355 Issued in MI
Practice address
1174 W Michigan Ave Ste a
Marshall, MI 49068-1625
Phone
(269) 558-0700
Fax
(269) 558-0701
NPI assigned
Jun 23, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 5101021355 MI Primary

Addresses

Primary practice location

1174 W Michigan Ave Ste a
Marshall, MI 49068-1625

Mailing address

1174 W Michigan Ave Ste a
Marshall, MI 49068-1625
Phone (269) 558-0700

Other practice location 1

720 US Highway 27 N
Marshall, MI 49068-9609
Phone (269) 781-6600

Other names 1

  • Dr. Melissa Kay Hart Gates Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170817000664 MI Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 2062784606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Practice addresses (Care Compare)

200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
85.32
Promoting interoperability
100
Improvement activities
40
Cost
71.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101021355MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle CurrentSince Aug 14, 2017 Accepting new patients
Ella E M Brown Charitable Circle Family Medicine CurrentSince Aug 14, 2017 Accepting new patients
Ella E M Brown Charitable Circle Past Accepting new patients

Locations

1174 W Michigan Ave
Marshall, MI 49068
Phone (269) 781-9867

1174 W Michigan Ave
Ste A
Marshall, MI 49068
Phone (269) 558-0700

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

720 US Highway 27 N
Marshall, MI 49068
Phone (269) 781-6600

Interoperability endpoints

  • Direct secure messaging: melissa.gates.1@9698.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417362039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 W MICHIGAN AVE STE A",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681625",
            "telephone_number": "269-558-0700",
            "fax_number": "269-558-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 W MICHIGAN AVE STE A",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681625",
            "telephone_number": "269-558-0700",
            "fax_number": "269-558-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 US Highway 27 N",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MI",
            "postal_code": "490689609",
            "country_code": "US",
            "telephone_number": "269-781-6600",
            "fax_number": "269-789-9228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATES",
        "first_name": "MELISSA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101021355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GATES",
            "middle_name": "KAY HART",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.