Active NPI
Melissa Ashley Mackel, D.O.
- Sports Medicine (Family Medicine) Physician
- Dover, DE
National Provider Identifier
1437410198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- C2-0011869
- Practice address
- 793 S Queen St
Dover, DE 19904-3568 - Phone
- (302) 735-8855
- Fax
- (302) 736-8570
- NPI assigned
- May 30, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C2-0011869 | DE | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | C2-0011869 | DE | Primary |
Addresses
Primary practice location
793 S Queen St
Dover, DE 19904-3568
Mailing address
640 S State St
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 480-1688
Other practice location 1
655 S Bay Rd Ste 1F
Dover, DE 19901-4694
Phone (302) 730-4366
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2-0011869 | Other | DE | DE LICENSE |
| LP02534 | Other | RI | RHODE ISLAND LICENSE |
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
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Carleton St
Cambridge, MA 02142-1323
Phone (617) 258-6896
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0011869 | DE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Institute of Technology | Current | Accepting new patients |
Locations
25 Carleton St
Cambridge, MA 02142
Phone (617) 253-0556
Organizations & group practices 1
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.
-
dba MIT Health
- Multi-Specialty Clinic/Center
- Cambridge, MA
- NPI 1346308723
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1689670259
-
- General Acute Care Hospital
- Roxbury Crossing, MA
- NPI 1699767491
-
dba Beth Israel Lahey Health at Home
- Community Based Hospice Care Agency
- Woburn, MA
- NPI 1912905597
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1437410198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S STATE ST",
"address_2": "MAIL CODE 3055",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-480-1688",
"fax_number": "302-480-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "793 S QUEEN ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199043568",
"telephone_number": "302-735-8855",
"fax_number": "302-736-8570"
}
],
"practiceLocations": [
{
"address_1": "655 S Bay Rd Ste 1F",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "DE",
"postal_code": "199014694",
"country_code": "US",
"telephone_number": "302-730-4366",
"fax_number": "302-730-0231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACKEL",
"first_name": "MELISSA",
"middle_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C2-0011869",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "DE",
"license": "C2-0011869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DE LICENSE",
"identifier": "C2-0011869",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RHODE ISLAND LICENSE",
"identifier": "LP02534",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.