Individual provider Active NPI

Melissa Lynn Andric, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Commerce Township, MI
National Provider Identifier
1699096339
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5101018930 Issued in MI
Practice address
8391 Commerce Rd Ste 107
Commerce Township, MI 48382-4489
Phone
(248) 360-8660
Fax
(248) 360-9235
NPI assigned
Jun 16, 2010
Last updated
May 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5101018930 MI Primary

Addresses

Primary practice location

8391 Commerce Rd Ste 107
Commerce Township, MI 48382-4489

Mailing address

1135 W University Dr Ste 425
Rochester, MI 48307-1897
Phone (248) 650-5861

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
I20140716001562 MI Practitioner - Physical Medicine and Rehabilitation 3274759873 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialists in Rehabilitation Medicine PCGroup PAC ID 1759450323, 31 clinicians

Practice addresses (Care Compare)

9640 Commerce Rd
Suite 202
Commerce TWP, MI 48382-4168
Phone (248) 360-8660

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Oakland CurrentSince Nov 12, 2019 Accepting new patients
McLaren Oakland CurrentSince Nov 12, 2019 Accepting new patients
Specialists in Rehabilitation Medicine PC Physical Medicine & Rehabilitation CurrentSince May 4, 2015 Accepting new patients
Oakland Physical Medicine PC CurrentSince Aug 1, 2014 Accepting new patients
McLaren Oakland Past Accepting new patients

Locations

8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847

16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867

43344 Woodward Ave
Bloomfld Hls, MI 48302
Phone (248) 335-9099

8391 Commerce Rd
Ste 107
Commerce Twp, MI 48382
Phone (248) 360-8244

9640 Commerce Rd
Ste 202
Commerce Twp, MI 48382
Phone (248) 360-8660

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

1135 W University Dr
Ste 175
Rochester Hls, MI 48307
Phone (248) 650-4738

1135 W University Dr
Ste 425
Rochester Hls, MI 48307
Phone (248) 650-5861

Interoperability endpoints

  • Direct secure messaging: mandric@direct.dmc.org
  • Direct secure messaging: mandric@sirmp-mi.direct.office.nextgen.com
  • Direct secure messaging: mandric1115182@direct.hfhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1699096339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR STE 425",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071897",
            "telephone_number": "248-650-5861",
            "fax_number": "248-650-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8391 COMMERCE RD STE 107",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824489",
            "telephone_number": "248-360-8660",
            "fax_number": "248-360-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIC",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101018930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

Verify at the official NPI Registry.