Individual provider Active NPI

Melissa D Koliha, PA

  • Surgical Physician Assistant
  • Carmel, IN
National Provider Identifier
1508920026
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA 9103235 Issued in FL
Practice address
10590 N Meridian St # 105
Carmel, IN 46290-1028
Phone
(317) 583-7800
Fax
(317) 583-7818
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10004766A IN
Surgical Physician Assistant 363AS0400X PA 9103235 FL Primary

Addresses

Primary practice location

10590 N Meridian St # 105
Carmel, IN 46290-1028

Mailing address

1345 W Bay Dr Ste 301
Largo, FL 33770-2264
Phone (727) 587-7111

Other practice location 1

1345 W Bay Dr Ste 301
Largo, FL 33770-2264
Phone (727) 587-7111

Other identifiers 2

IdentifierTypeStateIssuer
Y06T0OtherFLBLUE CROSS AND BLUE SHIELD
292778100MedicaidFL

Other names 1

  • Melissa D Burke Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MELISSA.KOLIHA@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070316000477 FL Practitioner - Physician Assistant 4688777337 Reassigns benefits to 4 organizations
I20250423002762 IN Practitioner - Physician Assistant 4688777337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Ohio, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 321-6589

3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307

Hospital & facility affiliations

  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9103235FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Nchmd, Inc CurrentSince Jul 1, 2024 Accepting new patients
Nchmd Inc CurrentSince Jul 1, 2024 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Jan 3, 2022 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Premier Cardiothoracic and Vascular Surgeons Inc Past Accepting new patients
Greater Tampa Bay Physician Specialists, LLC PastSince Oct 1, 2024 Accepting new patients
Cardiology Consultants Past Accepting new patients

Locations

399 Tamiami Trl N
Naples, FL 34102
Phone (239) 624-1680

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

10590 N Meridian St
#105
Carmel, IN 46290
Phone (317) 583-5400

10590 N Meridian St
Ste 105
Carmel, IN 46290
Phone (317) 583-7800

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: melissa.koliha@hca4.eclinicaldirectplus.com
  • Direct secure messaging: mkoliha83570@nchhealthcaresystem.direct-ci.com
  • Direct secure messaging: mkoliha314406@orlandohealth.medalliesdirect.net

Organizations & group practices 12

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1508920026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 W BAY DR STE 301",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702264",
            "telephone_number": "727-587-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 N MERIDIAN ST # 105",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901028",
            "telephone_number": "317-583-7800",
            "fax_number": "317-583-7818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 W Bay Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702264",
            "country_code": "US",
            "telephone_number": "727-587-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLIHA",
        "first_name": "MELISSA",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10004766A",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 9103235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "Y06T0",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292778100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MELISSA.KOLIHA@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1345 W Bay Dr Ste 301",
            "city": "Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337702264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BURKE",
            "middle_name": "D",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.