Melodie Isgro, MD
Individual provider Active NPI Addiction Medicine (Preventive Medicine) Physician · Anchorage, AK
NPI 1528094968 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1528094968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician 2083A0300X
- License
- 109713 (AK)
- Practice address
- 4000 Laurel St
Anchorage, AK 99508-5333 - Phone
- (907) 729-6300
- Fax
- (907) 729-6314
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.77 of 100
- Quality
- 76.11
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.79
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170106001174 | AK | Practitioner - Emergency Medicine |
9830166933 | Reassigns benefits to 1 organization |
| I20171107001103 | TX | Practitioner - Addiction Medicine | 9830166933 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcentral Foundation | Current | Accepting new patients | |
| Eastern Aleutian Tribes, Inc | Current | Accepting new patients | |
| Eastern Aleutian Tribes, Inc. | Current |
Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Eastern Aleutian Tribes, Inc. | Current |
Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current |
Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current |
Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| Southcentral Foundation | Past | Accepting new patients | |
| Providence Health & Services - Oregon | Past | Accepting new patients |
Locations
4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000
3380 C St
Ste 100
Anchorage, AK 99503
Phone (907) 277-1440
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
Interoperability endpoints
- misgro@direct.scf.cc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 109713 | AK | Yes |
Addresses
Primary practice location
4000 Laurel St
Anchorage, AK 99508-5333
Mailing address
4000 Laurel St
Anchorage, AK 99508-5333
Phone (907) 729-6300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930110029 | Other | OR | RR MEDICARE |
Other providers in Anchorage, AK
- Kelly Isaly-Johns
- Don Isbell
- Kendra Isbell
- Debra A Isel
- Karrianna L Iseminger
- Suzanne Ishii-Regan
- Shannon M Isley
- Ngozi Gerald Isolokwu
- Katelyn Grace Isom
- Tracy A Israelson
All providers in Anchorage, AK · Addiction Medicine (Preventive Medicine) Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. 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.
- 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.