Active NPI
Melody Anne Mumford, M.D.
- Family Medicine Physician
- Greenfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 82787
- Practice address
- 6901 W Edgerton Ave
Greenfield, WI 53220-4420 - Phone
- (414) 325-5244
- NPI assigned
- Apr 16, 2008
- Last updated
- Aug 30, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 036127994 | IL | |
| Family Medicine Physician | 207Q00000X | 82787 | WI | Primary |
Addresses
Primary practice location
6901 W Edgerton Ave
Greenfield, WI 53220-4420
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100255506 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | mmumford389990@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6901 W Edgerton Ave
Milwaukee, WI 53220-4420
Phone (414) 421-8400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82787 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Medical Clinic, LLC | Family Medicine | Current | Accepting new patients |
| Lakeshore Medical Clinic LTD | Family Medicine | Current | Accepting new patients |
| Aurora Advanced Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Sullivan Urgent Aid Centers, LTD | Emergency Medicine | Past | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210
7732 Solution Ctr
Dept 3466
Chicago, IL 60677
9200 W Loomis Rd
Franklin, WI 53132
Phone (414) 529-9200
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
6901 W Edgerton Ave
Milwaukee, WI 53220
Phone (414) 325-5244
S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
Interoperability endpoints
- mmumford389990@direct.myadvocateaurora.org
Organizations & group practices 10
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Family Medicine
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Family Medicine Physician
- St Francis, WI
- NPI 1003861188
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
dba LMC Bucyrus Medical
- Family Medicine Physician
- South Milwaukee, WI
- NPI 1174851893
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
-
- Emergency Medicine Physician
- Tinley Park, IL
- NPI 1235175803
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1629242078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 W EDGERTON AVE",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204420",
"telephone_number": "414-325-5244"
}
],
"practiceLocations": [
{
"address_1": "1740 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "866-600-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUMFORD",
"first_name": "MELODY",
"middle_name": "ANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036127994",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "82787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100255506",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "6901 W Edgerton Ave",
"city": "Greenfield",
"state": "WI",
"country_code": "US",
"postal_code": "532204420",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmumford389990@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6901 W Edgerton Ave",
"city": "Greenfield",
"state": "WI",
"country_code": "US",
"postal_code": "532204420",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.