Individual provider Active NPI

Smitha Mellacheruvu, MD

  • Hematology & Oncology Physician
  • Bronx, NY
National Provider Identifier
1548330970
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0229985 Issued in NY
Practice address
111 E 210TH St
Hoffheimer 1-- Department of Medical Oncology
Bronx, NY 10467-2401
Phone
(718) 920-4826
Fax
(718) 798-7474
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0229985 NY Primary

Addresses

Primary practice location

111 E 210TH St
Hoffheimer 1-- Department of Medical Oncology
Bronx, NY 10467-2401

Mailing address

39 Grand St
Apt.3210
Mamaroneck, NY 10543-1992
Phone (732) 889-1374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20090409000019 NY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6800896531 Reassigns benefits to 3 organizations
I20240610000205 CT Practitioner - Hematology/OncologyPractitioner - Medical Oncology 6800896531

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians

Practice addresses (Care Compare)

45 Reade PL
FL 2
Poughkeepsie, NY 12601-3947
Phone (845) 483-6001

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Putnam Hospital Center Hospital, Carmel, NY, CCN 330273
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
  • Sharon Hospital Hospital, Sharon, CT, CCN 070004

Merit-based Incentive Payment System (MIPS)

Final score
99.37 of 100Reported as group
Improvement activities
40
Cost
81.56

Merit-based Incentive Payment System (MIPS)

Final score
79.07 of 100Reported as group
Quality
57.91
Promoting interoperability
77
Improvement activities
40
Cost
80.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0229985NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC CurrentSince May 12, 2025 Accepting new patients
North Shore Health System Medical Faculty Group Practice Inc Hematology & Oncology CurrentSince Sep 12, 2022 Accepting new patients
Health Quest Medical Practice, PC CurrentSince May 12, 2025 Accepting new patients
Montefiore Medical Center Hematology & Oncology CurrentSince Aug 14, 2008 Accepting new patients
Montefiore Medical Center CurrentSince Aug 14, 2008 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

111 E 210th St
#1
Bronx, NY 10467
Phone (718) 920-4057

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
#2
Poughkeepsie, NY 12601

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: smithamellacheruvu@nslijmedgr.allscriptsdirect.net

Organizations & group practices 5

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 5

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1548330970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GRAND ST",
            "address_2": "APT.3210",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431992",
            "telephone_number": "732-889-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "address_2": "HOFFHEIMER 1-- DEPARTMENT OF MEDICAL ONCOLOGY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-4826",
            "fax_number": "718-798-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLACHERUVU",
        "first_name": "SMITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "0229985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.