Individual provider Active NPI

Rashmi Giselle D'Mello, M.D.

  • Allergy & Immunology Physician
  • Saint Joseph, MI
National Provider Identifier
1558758052
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4301501986 Issued in MI
Practice address
2550 Niles Rd.
Saint Joseph, MI 49085
Phone
(269) 429-1085
Fax
(269) 429-2202
NPI assigned
Apr 22, 2015
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 4301501986 MI Primary

Addresses

Primary practice location

2550 Niles Rd.
Saint Joseph, MI 49085

Mailing address

2550 Niles Rd.
Saint Joseph, MI 49085
Phone (269) 429-1085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20201007000878 MI Practitioner - Allergy/Immunology 2860811072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
State University of New York at Buffalo School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutinderpal Judge MD PCGroup PAC ID 0345220943, 2 clinicians

Practice addresses (Care Compare)

2550 Niles Rd
Suite 3
Saint Joseph, MI 49085-3270
Phone (269) 429-1085

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sutinderpal Judge M.D., PC Allergy & Immunology CurrentSince Sep 14, 2020 Accepting new patients

Locations

302 S Front St
Dowagiac, MI 49047
Phone (269) 782-0064

2550 Niles Rd
Saint Joseph, MI 49085
Phone (269) 429-1085

2550 Niles Rd
Ste 3
Saint Joseph, MI 49085
Phone (269) 429-1085

Interoperability endpoints

  • Direct secure messaging: rdmello1269266@epic00.shdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1558758052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 NILES RD.",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "49085",
            "telephone_number": "269-429-1085",
            "fax_number": "269-429-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 NILES RD.",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "49085",
            "telephone_number": "269-429-1085",
            "fax_number": "269-429-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'MELLO",
        "first_name": "RASHMI",
        "middle_name": "GISELLE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301501986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.