Individual provider Active NPI

Rovie Theresa Pato Mesola, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1447245634
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD21262 Issued in ME
Practice address
450 Clarkson Ave
Box 50
Brooklyn, NY 11203-2012
Phone
(917) 733-4473
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 244938 NY
Internal Medicine Physician 207R00000X MD13057 RI
Internal Medicine Physician 207R00000X MD60103169 WA
Internal Medicine Physician 207R00000X MD21262 ME Primary

Addresses

Primary practice location

450 Clarkson Ave
Box 50
Brooklyn, NY 11203-2012

Mailing address

450 Clarkson Ave
Box 50
Brooklyn, NY 11203-2012
Phone (917) 733-4473

Other identifiers 1

IdentifierTypeStateIssuer
02697890MedicaidNY

Other names 1

  • Dr. Rovie Mesola Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME, AZ, ND, IA, WI6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20051216000423 NY Practitioner - Internal Medicine 0648291732 Reassigns benefits to 1 organization
I20160401000416 ME Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 0648291732 Reassigns benefits to 4 organizations
I20160722000266 AZ Practitioner - Internal Medicine 0648291732 Practice locations: Wickenburg, AZ
I20250415003020 ND Practitioner - Hospitalist 0648291732 Reassigns benefits to 2 organizations
I20251229003030 IA Practitioner - Internal Medicine 0648291732 Reassigns benefits to 2 organizations
I20260316001011 WI Practitioner - Internal Medicine 0648291732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

470 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13057RIMDInternal Medicine Physician
244938NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacobson Memorial Hospital Care Center CurrentSince Jan 16, 2025 Accepting new patients
Houlton Regional Hospital CurrentSince Oct 14, 2016 Accepting new patients
Delaware County Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Delaware County Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Delaware County Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Jan 1, 2022 Accepting new patients
Houlton Regional Hospital CurrentSince Oct 14, 2016 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Burnett Medical Center Inc CurrentSince Mar 1, 2026 Accepting new patients
Burnett Medical Center Inc CurrentSince Mar 1, 2026 Accepting new patients
Mainehealth CurrentSince Feb 15, 2016 Accepting new patients
Jacobson Memorial Hospital Care Center Current Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Current Accepting new patients
Jacobson Memorial Hospital Care Center Current Accepting new patients
Jacobson Memorial Hospital Care Center CurrentSince Jan 16, 2025 Accepting new patients
Redington-Fairview General Hospital CurrentSince Feb 8, 2026 Accepting new patients
Burnett Medical Center Inc CurrentSince Mar 1, 2026 Accepting new patients
Redington-Fairview General Hospital CurrentSince Feb 8, 2026 Accepting new patients
Mount Desert Island Hospital Past Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients

Locations

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

118 Northport Ave
Belfast, ME 04915
Phone (207) 338-9345

116 Northport Ave
Ste 220
Belfast, ME 04915
Phone (207) 505-4015

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293

450 Clarkson Ave
#59
Brooklyn, NY 11203
Phone (718) 270-2078

445 Lenox Rd
#71
Brooklyn, NY 11203
Phone (718) 270-2030

470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003

840 Lefferts Ave
Brooklyn, NY 11203
Phone (718) 493-0300

445 Lenox Rd
Ste A
Brooklyn, NY 11203
Phone (718) 270-3777

257 W Saint George Ave
Grantsburg, WI 54840
Phone (715) 463-5353

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: rmesola791542@direct.centracare.com
  • Direct secure messaging: rmesola@yourcarecommunity.org
  • Direct secure messaging: rmesola3934832@direct.trinity-health.org
  • Direct secure messaging: rovie.theresa.mesola.1@11418.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
  • Direct secure messaging: roviemesola@sunydmc.allscriptsdirect.net

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 1

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1447245634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 50",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "917-733-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "BOX 50",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "917-733-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESOLA",
        "first_name": "ROVIE THERESA",
        "middle_name": "PATO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "244938",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD13057",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60103169",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD21262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02697890",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROVIE",
            "last_name": "MESOLA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.