Melissa Bruhl, DO
Individual provider Active NPI Internal Medicine Physician · Marshalltown, IA
NPI 1497833784 · NPPES record last updated Nov 25, 2020
Key facts
- NPI
- 1497833784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- R00398 (IA)
- Practice address
- 1301 Summit St
Marshalltown, IA 50158-5484 - Phone
- (641) 753-4518
- Fax
- (641) 753-4203
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in IA, TN, FL, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Suncrest Hospice |
Hospice | W-2 Managing Employee | Aug 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080814000064 | IA | Practitioner - Family Practice |
3072688845 | Reassigns benefits to 1 organization |
| I20201117000346 | TN | Practitioner - Internal Medicine | 3072688845 | Reassigns benefits to 1 organization |
| I20201125002325 | FL | Practitioner - Internal Medicine | 3072688845 | |
| I20210525002415 | VA | Practitioner - Internal Medicine | 3072688845 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3917 | TN | MD | Clinical Psychologist |
| 305438 | NY | MD | Licensed Practical Nurse |
| 3333 | IA | MD | Internal Medicine Physician |
| R00398 | IA | MD | Internal Medicine Physician |
| 05-43865 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Wound Physicians of the West, P.C. | General Practice | Current |
Accepting new patients |
Locations
2730 Crow Creek Rd
Bettendorf, IA 52722
Phone (563) 332-7463
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3333 | IA | |
| Internal Medicine Physician | 207R00000X | 008657 | AZ | |
| Internal Medicine Physician | 207R00000X | DR.0064788 | CO | |
| Internal Medicine Physician | 207R00000X | 05-43865 | KS | |
| Internal Medicine Physician | 207R00000X | 04726 | KY | |
| Internal Medicine Physician | 207R00000X | 5101025782 | MI | |
| Internal Medicine Physician | 207R00000X | DO2770 | NV | |
| Internal Medicine Physician | 207R00000X | 305438 | NY | |
| Internal Medicine Physician | 207R00000X | 34.014683 | OH | |
| Internal Medicine Physician | 207R00000X | DO01042 | RI | |
| Internal Medicine Physician | 207R00000X | 3917 | TN | |
| Internal Medicine Physician | 207R00000X | OP61076411 | WA | |
| Internal Medicine Physician | 207R00000X | R00398 | IA | Yes |
Addresses
Primary practice location
1301 Summit St
Marshalltown, IA 50158-5484
Mailing address
1301 Summit St
Marshalltown, IA 50158-5484
Phone (641) 753-4518
Other providers in Marshalltown, IA
- Cobey Lyn Brau
- Brenda Lee Bro
- Shawna R Brooks
- Rebecca Sue Brown
- Sheldon Brown
- Ella Mae Burchland
- Kelli Ann Buresh
- Richard Martin Burke Jr.
- Mandy Jo Burns
- Marci Burns
All providers in Marshalltown, IA · Internal Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.