Active NPI
Judith M Melchiorre, PAC
- Physician Assistant
- Odenton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0002332
- Practice address
- 1106 Annapolis Rd
Odenton, MD 21113-1637 - Phone
- (410) 874-1400
- Fax
- (410) 367-2202
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0002332 | MD | Primary |
Addresses
Primary practice location
1106 Annapolis Rd
Odenton, MD 21113-1637
Mailing address
3100 Wyman Park Dr
Ste 359a
Baltimore, MD 21211
Phone (410) 338-3016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800
1106 Annapolis Rd
Suite 310
Odenton, MD 21113-1744
Phone (410) 874-1400
Hospital & facility affiliations
- Johns Hopkins Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0002332 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Past | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
3100 Wyman Park Dr
Ste 359A
Baltimore, MD 21211
Phone (410) 338-3016
14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254
Interoperability endpoints
- jmelchiorre6761@direct.hopkinsmedicine.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1578598868
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
- Physical Medicine & Rehabilitation Physician
- Lutherville Timonium, MD
- NPI 1215759881
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1467639260
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448841600000",
"number": "1467564880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 WYMAN PARK DR",
"address_2": "STE 359A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21211",
"telephone_number": "410-338-3016",
"fax_number": "410-338-3420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 ANNAPOLIS RD",
"city": "ODENTON",
"state": "MD",
"postal_code": "211131637",
"telephone_number": "410-874-1400",
"fax_number": "410-367-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELCHIORRE",
"first_name": "JUDITH",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2015-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0002332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odenton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.