NPIMap

Individual provider Active NPI

Melissa M. Mortensen-Welch, M.D.

  • Sleep Medicine (Otolaryngology) Physician
  • East Setauket, NY
National Provider Identifier
1467675181
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X
License
2341737 Issued in NY
Practice address
37 Research Way
Stony Brook Surgical Associates
East Setauket, NY 11733-9200
Phone
(631) 444-4121
Fax
(631) 444-4189
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Otolaryngology) Physician 207YS0012X 2341737 NY Primary
Sleep Medicine (Otolaryngology) Physician 207YS0012X 0101243259 VA

Addresses

Primary practice location

37 Research Way
Stony Brook Surgical Associates
East Setauket, NY 11733-9200

Mailing address

Department of Surgery Otolaryngology
Stony Brook Univ Medical Center, Hsct19-064
Stony Brook, NY 11794-8191
Phone (631) 444-8410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070720000630 NY Practitioner - Otolaryngology 0345341376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

50 New Scotland Ave
Albany, NY 12208-3403
Phone (518) 262-9777

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Sunnyview Hospital and Rehabilitation Center Hospital, Schenectady, NY, CCN 330406
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234137NYMDSpecialist
2341737NYMDSleep Medicine (Otolaryngology) Physician
0101243259VAMDSleep Medicine (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Jul 1, 2020 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jul 1, 2020 Accepting new patients
Albany Medical College CurrentSince Jul 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

50 New Scotland Ave
Albany, NY 12208
Phone (518) 262-0940

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

Interoperability endpoints

  • Direct secure messaging: mmortensenwelch27571@albanymed.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406246400000",
    "number": "1467675181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF SURGERY OTOLARYNGOLOGY",
            "address_2": "STONY BROOK UNIV MEDICAL CENTER, HSCT19-064",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948191",
            "telephone_number": "631-444-8410",
            "fax_number": "631-444-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 RESEARCH WAY",
            "address_2": "STONY BROOK SURGICAL ASSOCIATES",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117339200",
            "telephone_number": "631-444-4121",
            "fax_number": "631-444-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSEN-WELCH",
        "first_name": "MELISSA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "NY",
            "license": "2341737",
            "primary": true
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "VA",
            "license": "0101243259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.