Active NPI
Rovie Theresa Pato Mesola, MD
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD21262
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02697890 | Medicaid | NY |
Other names 1
- Dr. Rovie Mesola
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, ME, AZ, ND, IA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD13057 | RI | MD | Internal Medicine Physician |
| 244938 | NY | MD | Hospitalist Physician |
Practice roles
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
- rmesola791542@direct.centracare.com
- rmesola@yourcarecommunity.org
- rmesola3934832@direct.trinity-health.org
- rovie.theresa.mesola.1@11418.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
- 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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1396318986
Internal Medicine
-
- Critical Access Hospital
- Grantsburg, WI
- NPI 1225191687
-
dba Burnett Medical Center
- Rural Health Clinic/Center
- Grantsburg, WI
- NPI 1356499784
-
dba Regional Medical Center
- Critical Access Hospital
- Manchester, IA
- NPI 1750354676
-
- Critical Access Hospital
- Houlton, ME
- NPI 1386804268
-
- Critical Access Hospital
- Elgin, ND
- NPI 1336196039
-
dba Elgin Community Clinic
- Rural Health Clinic/Center
- Elgin, ND
- NPI 1871691519
-
- Critical Access Hospital
- Skowhegan, ME
- NPI 1174549133
-
dba Backbone Area Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manchester, IA
- NPI 1982667929
-
dba SUNY Parkside Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
- NPI 1528027414
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1740853340
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1639179328
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.