Melissa Pence Roelle, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35-089612 Issued in OH

Practice address

30 E Apple St
Suite 5253
Dayton, OH 45409-2939

Phone

(937) 208-2552

Fax

(937) 208-6154

NPI assigned

Mar 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Merit-based Incentive Payment System (MIPS)

Final score

84.17 of 100Reported as group

Quality

65.6

Promoting interoperability

100

Improvement activities

40

Cost

74.7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wright State Physicians Inc

  • Ambulatory Surgical Clinic/Center
  • Dayton, OH
  • NPI 1649447582
  NPD (past)

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1538289566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 UNIVERSITY BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454350001",
            "telephone_number": "937-245-7100",
            "fax_number": "937-245-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST",
            "address_2": "SUITE 5253",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-2552",
            "fax_number": "937-208-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROELLE",
        "first_name": "MELISSA",
        "middle_name": "PENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-089612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2764512",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Daniel Rodriguez, DO
• Jason L Rodriguez, LPC
• Joely Rodriguez, QMHS/CMS
• Alisha Roe
• Roediger & Sons LLC (Home Instead)
• David Lloyd Roer, MD
• Matthew John Roesch, D.O.
• Cory Thomas Roeth, MD
• Anna Roetker, M.D.
• Rogan Crosby LLC (Rogan Crosby Behavioral Health and Addiction Services)

• Surgery Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.

Verify at the official NPI Registry.