Individual provider Active NPI

Melissa Allison Price, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Fishkill, NY
National Provider Identifier
1669678736
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
252132 Issued in NY
Practice address
60 Merritt Boulevard- Mount Kisco Medical Group
2ND Floor
Fishkill, NY 12524-2990
Phone
(845) 765-4990
Fax
(845) 765-4981
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 252132 NY Primary

Addresses

Primary practice location

60 Merritt Boulevard- Mount Kisco Medical Group
2ND Floor
Fishkill, NY 12524-2990

Mailing address

60 Merritt Boulevard- Mount Kisco Medical Group
2ND Floor
Fishkill, NY 12524-2990
Phone (845) 765-4990

Other identifiers 1

IdentifierTypeStateIssuer
03349979MedicaidNY

Other names 1

  • Melissa Allison Freeman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110719000472 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 7113195157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
State University of Ny Upstate Medical University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

110 S Bedford Rd
Mount Kisco, NY 10549-3446

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252132NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. Endocrinology, Diabetes & Metabolism CurrentSince Jul 15, 2011 Accepting new patients
Optum Medical Care, P.C. CurrentSince Jul 15, 2011 Accepting new patients
Mount Kisco Medical Group Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

60 Merritt Blvd
Fl 2
Fishkill, NY 12524
Phone (845) 765-4990

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

Philadelphia, PA 19195

Networks

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

Interoperability endpoints

  • Direct secure messaging: mprice65373@northwell.direct-ci.com

Organizations & group practices 3

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 2

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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1669678736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MERRITT BOULEVARD- MOUNT KISCO MEDICAL GROUP",
            "address_2": "2ND FLOOR",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242990",
            "telephone_number": "845-765-4990",
            "fax_number": "845-765-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MERRITT BOULEVARD- MOUNT KISCO MEDICAL GROUP",
            "address_2": "2ND FLOOR",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242990",
            "telephone_number": "845-765-4990",
            "fax_number": "845-765-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "MELISSA",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "252132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03349979",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "FREEMAN",
            "middle_name": "ALLISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.