Melissa A Dewilde, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.017249 Issued in OH

Practice address

1111 Hayes Ave
Sandusky, OH 44870-3323

Phone

(419) 502-2800

NPI assigned

Apr 27, 2021

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

Ohio University, College of Osteopathic Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FRMC Home Health Services Home health agency, Sandusky, OH, CCN 367691
• Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.malek.p11@direct.loraincountyhealth.nextgenshare.com

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.

• North Coast Professional Company, LLC

  • Internal Medicine Physician
  • Sandusky, OH
  • NPI 1881648210

  Family Medicine

  Medicare reassignment Care Compare group NPD
• North Coast Professional Company, LLC

  dba Firelands Physician Group

  • Rural Health Clinic/Center
  • Fremont, OH
  • NPI 1407393242
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Firelands Regional Medical Center

  dba Firelands Regional Medical Center Home Health Services

  • Home Health Agency
  • Sandusky, OH
  • NPI 1134117849
  Care Compare affiliation
• Firelands Regional Medical Center

  dba Firelands Counseling & Recovery Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tiffin, OH
  • NPI 1154372381

  Hospital

  Care Compare affiliation
• Firelands Regional Medical Center

  • General Acute Care Hospital
  • Sandusky, OH
  • NPI 1285392936
  Care Compare affiliation
• Firelands Regional Medical Center

  dba Firelands Counseling & Recovery Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sandusky, OH
  • NPI 1629028600

  Hospital

  Care Compare affiliation
• Firelands Regional Medical Center

  • General Acute Care Hospital
  • Sandusky, OH
  • NPI 1801884655
  Care Compare affiliation
• Firelands Regional Medical Center

  dba Firelands Counseling & Recovery Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norwalk, OH
  • NPI 1992756118

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1619559770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703323",
            "telephone_number": "419-502-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703323",
            "telephone_number": "419-502-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWILDE",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "58.032062",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.017249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Professionals Cleveland-Nouneh, Inc. (bright now dental)
• Anthony J Deriso II, MD
• Dermatology Partners, Inc.
• Shira Derose, MS
• Kerry Ann Desmarais
• Gale A Dickman
• Jessica Lynn Didion
• Joann Christine Didion, LISW-S
• Julie Ann Didion, PCC
• Patricia Didion, AUD

• Family Medicine Physician in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.