Individual provider Active NPI

Melanie Lynn Hom, M.D.

  • Ophthalmology Physician
  • Oakland, CA
National Provider Identifier
1508944562
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A86406 Issued in CA
Practice address
491 30TH St
Suite #201
Oakland, CA 94609-3235
Phone
(510) 836-2122
Fax
(510) 836-3773
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A86406 CA Primary

Addresses

Primary practice location

491 30TH St
Suite #201
Oakland, CA 94609-3235

Mailing address

491 30TH St
Suite #201
Oakland, CA 94609-3235
Phone (510) 836-2122

Other identifiers 2

IdentifierTypeStateIssuer
P00435524OtherMEDICARE RAILROAD
00A864060MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 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
I20070427000473 CA Practitioner - Ophthalmology 3173629706 Reassigns benefits to 1 organization
Practice locations: Oakland, CA
O20100930079785 CA DME Supplier - Physician - Ophthalmology 7416152236 Practice locations: Oakland, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

491 30TH St
Oakland, CA 94609-3235
Phone (510) 836-2122

Merit-based Incentive Payment System (MIPS)

Final score
95.58 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
72.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery296

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86406CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Dec 1, 2016 Accepting new patients
Alameda Health System CurrentSince Dec 1, 2016 Accepting new patients

Locations

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

Interoperability endpoints

  • Direct secure messaging: mhom@ebesmlh.intellechartdirect.net
  • Direct secure messaging: mhom161420@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1508944562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 30TH ST",
            "address_2": "SUITE #201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093235",
            "telephone_number": "510-836-2122",
            "fax_number": "510-836-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 30TH ST",
            "address_2": "SUITE #201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093235",
            "telephone_number": "510-836-2122",
            "fax_number": "510-836-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOM",
        "first_name": "MELANIE",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A86406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00435524",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A864060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.