Active NPI
Melanie Lynn Bozard, MD
- Internal Medicine Physician
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01047063A
- Practice address
- 138 N Dixon Rd
Kokomo, IN 46901-4154 - Phone
- (765) 236-8282
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01047063A | IN | Primary |
Addresses
Primary practice location
138 N Dixon Rd
Kokomo, IN 46901-4154
Mailing address
138 N Dixon Rd
Kokomo, IN 46901-4154
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000093483 | Other | IN | BLUE CROSS |
| 200225390 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | melanie.bozard.1@7598.direct.athenahealth.com | St. Vincent Medical Group, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Indiana University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
138 N Dixon Rd
Kokomo, IN 46901-4154
Phone (765) 236-8282
250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317
8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600
Hospital & facility affiliations
- Ascension at Home
- Elara Caring
- Ascension St Vincent Kokomo
- Community Howard Regional Health Inc.
- Memorial Hospital
- Ascension St Vincent Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01047063A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| St. Vincent Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St Vincent Medical Group Inc | Past | Accepting new patients | |
| Pfeifer Internal Medicine, PC | Internal Medicine | Past | Accepting new patients |
| St. Joseph Hospital & Health Center, Inc. | Past | Accepting new patients | |
| Internal Medicine Associates of Kokomo | Past | Accepting new patients |
Locations
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
8840 Commerce Park Pl
Ste E
Indianapolis, IN 46268
Phone (317) 583-4420
138 N Dixon Rd
Kokomo, IN 46901
Phone (765) 236-8202
Interoperability endpoints
- melanie.bozard.1@7598.direct.athenahealth.com
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.
-
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
Internal Medicine
-
- Rural Health Clinic/Center
- North Vernon, IN
- NPI 1376816975
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
- Specialist
- Kokomo, IN
- NPI 1518001569
-
- Internal Medicine Physician
- Kokomo, IN
- NPI 1689098022
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1558686436
-
- Psychiatry Physician
- Kokomo, IN
- NPI 1568799740
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kokomo, IN
- NPI 1346255940
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
-
- Home Health Agency
- Pendleton, IN
- NPI 1942376843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1437153145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 N DIXON RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469014154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 N DIXON RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469014154",
"telephone_number": "765-236-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZARD",
"first_name": "MELANIE",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01047063A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000000093483",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200225390",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melanie.bozard.1@7598.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "St. Vincent Medical Group, Inc.",
"address_1": "138 N Dixon Rd",
"city": "Kokomo",
"state": "IN",
"country_code": "US",
"postal_code": "469014154",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.