Individual provider Active NPI

Melissa C Manning, MD

  • Pediatrics Physician
  • Scottsdale, AZ
National Provider Identifier
1497985386
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
50460 Issued in AZ
Practice address
10901 E McDowell Rd
Scottsdale, AZ 85256
Phone
(480) 278-7742
Fax
(480) 585-5233
NPI assigned
Jul 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5315042173 MI
Pediatrics Physician 208000000X 35.099424 OH
Pediatrics Physician 208000000X 50460 AZ Primary

Addresses

Primary practice location

10901 E McDowell Rd
Scottsdale, AZ 85256

Mailing address

10901 E McDowell Rd
Scottsdale, AZ 85256
Phone (480) 278-7742

Other identifiers 1

IdentifierTypeStateIssuer
0016478MedicaidAZ

Other names 1

  • Melissa C Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150619002215 AZ Practitioner - Pediatric Medicine 6103137906 Reassigns benefits to 1 organization
I20230327002124 TX Practitioner - Pediatric Medicine 6103137906 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50460AZMDPediatrics Physician
5315042173MIMDPediatrics Physician
35.099424OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salt River Pima-Maricopa Indian Community CurrentSince May 12, 2024 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Jul 1, 2015 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Jul 1, 2015 Accepting new patients
Salt River Pima-Maricopa Indian Community Current Accepting new patients
Phoenix Children'S Hospital Pediatrics Current Accepting new patients
Phoenix Children'S Hospital Hope Past Accepting new patients
Scottsdale Pediatrics and Pediatric Nephrology, PLLC Pediatrics PastSince Oct 27, 2024 Accepting new patients

Locations

5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

1919 E Thomas Rd
Bldg 2108
Phoenix, AZ 85016
Phone (602) 512-8030

10901 E McDowell Rd
Scottsdale, AZ 85256
Phone (480) 278-7742

Interoperability endpoints

  • Direct secure messaging: mmanning703687@direct.ochin.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1248480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1497985386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 E MCDOWELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85256",
            "telephone_number": "480-278-7742",
            "fax_number": "480-585-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 E MCDOWELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85256",
            "telephone_number": "480-278-7742",
            "fax_number": "480-585-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "MELISSA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-25",
        "last_updated": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5315042173",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.099424",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "50460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016478",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "JONES",
            "middle_name": "C",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.