NPIMap

Individual provider Active NPI

Melissa A. Dine, D.O.

  • General Practice Physician
  • Columbus, OH
National Provider Identifier
1700084787
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
58001720 Issued in OH
Practice address
6200 Cleveland Ave
Suite 101
Columbus, OH 43231-8608
Phone
(614) 898-0150
Fax
(614) 898-0694
NPI assigned
Jul 11, 2007
Last updated
Oct 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 58001720 OH Primary

Addresses

Primary practice location

6200 Cleveland Ave
Suite 101
Columbus, OH 43231-8608

Mailing address

6200 Cleveland Ave
Suite 101
Columbus, OH 43231-8608
Phone (614) 898-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090106000016 OH Practitioner - Family Practice 1658434477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

495 Cooper Rd
Suite 311
Westerville, OH 43081-8729
Phone (614) 627-1490

55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58001720OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Healthproviders Inc CurrentSince Aug 1, 2008 Accepting new patients
Mount Carmel Health Providers Inc CurrentSince Aug 1, 2008 Accepting new patients
Mount Carmel Health Providers Inc Past Accepting new patients
Northeast Family Practice Past Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

495 Cooper Rd
Ste 311
Westerville, OH 43081
Phone (614) 627-1490

Interoperability endpoints

  • Direct secure messaging: mdine1158327@direct.trinity-health.org

Organizations & group practices 4

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 7

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1700084787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 CLEVELAND AVE",
            "address_2": "SUITE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432318608",
            "telephone_number": "614-898-0150",
            "fax_number": "614-898-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 CLEVELAND AVE",
            "address_2": "SUITE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432318608",
            "telephone_number": "614-898-0150",
            "fax_number": "614-898-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINE",
        "first_name": "MELISSA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "58001720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.