Melissa Marie D'Andrea, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

343894 Issued in NY

Practice address

111 Marys Ave Ste 3
Kingston, NY 12401-5896

Phone

(845) 339-3663

NPI assigned

Apr 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Vascular Surgery

Education

Loyola University of Chicago, Stritch School of Medicine, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner - University Medical Center Tucson Campus LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1265820179
  Care Compare affiliation
• Banner - University Medical Center Tucson Campus LLC

  • Nutrition Education Nutritionist
  • Tucson, AZ
  • NPI 1861102881

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1447833033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MARYS AVE STE 3",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015896",
            "telephone_number": "845-339-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MARYS AVE STE 3",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015896",
            "telephone_number": "845-339-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANDREA",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "343894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melissa.Dandrea@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "APS Vascular Surgery",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "111 Marys Ave Ste 3",
            "city": "Kingston",
            "state": "NY",
            "country_code": "US",
            "postal_code": "124015896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• D.K Shah MD PC (Grand Street Medical Associates)
• D.K Shah MD PC (Grand Street Medical Associates)
• D.K Shah MD PC (Grand Street Medical Associates)
• D.K Shah MD PC (Grand Street Medical Associates)
• D.K. Shah MD, P.C. (Grand Street Medical Associates)
• Melissa Maria Dagele, COTA
• Judith M Dagirmanjian, CSW-R
• Steve Dagirmanjian, PHD
• Tracy-Ann Daley
• Kim Clarissa Dallas, LMSW

• Vascular Surgery Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.