Active NPI
Melissa Houss Marks, D.O.
- Plastic Surgery Physician
- Charlotte, NC
National Provider Identifier
1518278175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 2022-02021
- Practice address
- 13545 Steelecroft Pkwy Ste 110
Charlotte, NC 28278-7562 - Phone
- (352) 514-1524
- NPI assigned
- Jun 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | OS14397 | FL | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | DO-04698 | IA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | OS14397 | FL | |
| Plastic Surgery Physician | 208200000X | 2022-02021 | NC | Primary |
Addresses
Primary practice location
13545 Steelecroft Pkwy Ste 110
Charlotte, NC 28278-7562
Mailing address
13545 Steelecroft Pkwy Ste 110
Charlotte, NC 28278-7562
Phone (352) 514-1524
Other practice location 1
1111 6th Ave
Des Moines, IA 50314-2613
Phone (515) 643-2261
Other practice location 2
3345 Burns Rd Ste 101
Palm Beach Gardens, FL 33410
Phone (561) 775-1212
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NA | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13545 Steelecroft Pkwy
Suite 110
Charlotte, NC 28278-7562
Phone (352) 514-1524
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-02021 | NC | MD | Plastic Surgery Physician |
| OS14397 | FL | MD | Plastic and Reconstructive Surgery Physician |
| DO-04698 | IA | MD | Plastic and Reconstructive Surgery Physician |
Interoperability endpoints
- mmarks1111729@direct.novanthealth.org
Organizations & group practices 1
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.
-
- Plastic Surgery Physician
- Charlotte, NC
- NPI 1508394990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1518278175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13545 STEELECROFT PKWY STE 110",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282787562",
"telephone_number": "352-514-1524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13545 STEELECROFT PKWY STE 110",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282787562",
"telephone_number": "352-514-1524"
}
],
"practiceLocations": [
{
"address_1": "1111 6th Ave",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503142613",
"country_code": "US",
"telephone_number": "515-643-2261",
"fax_number": "515-643-5802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3345 Burns Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "33410",
"country_code": "US",
"telephone_number": "561-775-1212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARKS",
"first_name": "MELISSA",
"middle_name": "HOUSS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-29",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "OS14397",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "IA",
"license": "DO-04698",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "OS14397",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "NC",
"license": "2022-02021",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NA",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13545 Steelecroft Pkwy Ste 110",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282787562",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.