John D Mellen, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301029356 Issued in MI

Practice address

1801 Harvest LN
Bloomfield Hills, MI 48302-1227

Phone

(248) 895-8218

NPI assigned

Jul 6, 2006

Last updated

Feb 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Diagnostic Radiology

Education

Wayne State University School of Medicine, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Doctors Diagnostic Center PCGroup PAC ID 2769463272, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.64 of 100Reported as group

Quality

85.06

Promoting interoperability

100

Improvement activities

40

Cost

77.9

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Michigan Healthcare Professionals PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1295023547
  Medicare reassignment Care Compare group NPD
• Doctors Diagnostic Center PC

  • Diagnostic Radiology Physician
  • Sterling Heights, MI
  • NPI 1942392196
  Medicare reassignment Care Compare group
• Michigan Healthcare Professionals PC

  dba Urology Specialist of Michigan

  • Durable Medical Equipment & Medical Supplies
  • Lapeer, MI
  • NPI 1992693303
  NPD
• Wellington Ultrasound Imaging LLC

  • Radiology Clinic/Center
  • Flint, MI
  • NPI 1750241774
  NPD
• Home Clinic PC

  • General Practice Physician
  • Southfield, MI
  • NPI 1962645689
  NPD (past)
• Internal Medicine Associates of Flint P.C.

  • Specialist
  • Flint, MI
  • NPI 1710980586
  NPD (past)
• Lake Diagnostics, Inc.

  • Specialist
  • Waterford, MI
  • NPI 1134130172
  NPD (past)
• Lake Diagnostics, Inc.

  • Clinic/Center
  • Waterford, MI
  • NPI 1700821188
  NPD (past)
• Sherman a. Kay, M.D. & Associates PC

  • Specialist
  • Bingham Farms, MI
  • NPI 1003851486
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1437181146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 HARVEST LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021227",
            "telephone_number": "248-626-0766",
            "fax_number": "248-626-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HARVEST LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021227",
            "telephone_number": "248-895-8218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2405 E 14 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483105961",
            "country_code": "US",
            "telephone_number": "586-264-6079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLEN",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "JM029356",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301029356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medilodge of Bloomfield
• Candace Meese, M.A., CCC-SLP
• Jill Mehr
• Michael Meininger, MD
• Sean Meisel
• Jeffrey Mensah
• Courtney Meram, DPT
• Mercy Hospitalists, PLLC
• Michael Scott Mersol-Barg, MD
• Kutub H Mesiwala, M.D.

• Diagnostic Radiology Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.

Verify at the official NPI Registry.