Active NPI
Melissa Barnes De la Roza, MD
- Emergency Medicine Physician
- Burlington, NC
National Provider Identifier
1629148531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2008 00499
- Practice address
- 1240 Huffman Mill Rd
Burlington, NC 27215-8700 - Phone
- (336) 538-7411
- Fax
- (336) 538-7041
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2008 00499 | NC | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 236450 | NY |
Addresses
Primary practice location
1240 Huffman Mill Rd
Burlington, NC 27215-8700
Mailing address
Gpo Box 29580
New York, NY 10087-9580
Phone (718) 283-8773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02689458 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008 00499 | NC | MD | Emergency Medicine Physician |
| 236450 | NY | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidewell Emergency Medicine Doctors, LLC | Current | Accepting new patients | |
| Maimonides Medical Center - MMC Emergency Physicians FPP | Emergency Medicine | Past | Accepting new patients |
Locations
113 N Orlando Ave
Winter Park, FL 32789
Phone (407) 801-8400
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
dba GuideWell Emergency Medicine Doctors Imaging
- Radiology Clinic/Center
- Winter Park, FL
- NPI 1639973555
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1982708202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1629148531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GPO BOX 29580",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100879580",
"telephone_number": "718-283-8773",
"fax_number": "718-283-8796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 HUFFMAN MILL RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158700",
"telephone_number": "336-538-7411",
"fax_number": "336-538-7041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA ROZA",
"first_name": "MELISSA",
"middle_name": "BARNES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2008 00499",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NY",
"license": "236450",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02689458",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
- Latia Dawkins
- Dawn M. Moore Ma, CCC-SLP, Inc. (Expressions, Speech, Language, & Myofunctional Center)
- Dawn M. Paretta-Leahey FNP, PLLC
- Amaya Jhane Daye-Dewer
- Eurydice Christine Daye-Roberson
- Stephen B. Deal, PT
- Crystal Lynn Dean-Smith, PHARM D
- Brad Russell Dean, CRNA
- Dedicated Physicians Group of North Carolina PLLC (Dedicated Senior Medical Center East Burlington)
- Dee & G Enrichment Center #3
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.