Individual provider Active NPI

William Michael Plaza Mellana Jr., M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Midland, MI
National Provider Identifier
1710210679
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
4301109020 Issued in MI
Practice address
4201 Campus Ridge Dr Ste 3100
Midland, MI 48670
Phone
(989) 488-5470
NPI assigned
Sep 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 258180 MA
Clinical Cardiac Electrophysiology Physician 207RC0001X 4301109020 MI Primary

Addresses

Primary practice location

4201 Campus Ridge Dr Ste 3100
Midland, MI 48670

Mailing address

4000 Wellness Dr
Midland, MI 48670-0001
Phone (989) 633-8018

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
I20160510000107 MI Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 0648578187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians
Mymichigan Medical Center West BranchGroup PAC ID 7214251081, 75 clinicians

Practice addresses (Care Compare)

160 E Warwick Dr
Alma, MI 48801-1092
Phone (989) 466-3621

170 N Caseville Rd
Pigeion, MI 48755-9704
Phone (989) 839-3538

2431 S M
30 Suite 216
West Branch, MI 48661-9388
Phone (989) 343-1130

2463 S M
Suite 30
West Branch, MI 48661-9312
Phone (989) 345-3660

2660 W Sugnet Rd
Midland, MI 48640-2647

3051 Kiesel Rd
Bay City, MI 48706-2449
Phone (989) 778-2890

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-8018

4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250

602 Beech St
Clare, MI 48617-1466
Phone (989) 488-5420

609 Quarter St
Gladwin, MI 48624-1941

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Mymichigan Medical Center West Branch Hospital, West Branch, MI, CCN 230095
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030
  • Mymichigan Medical Center Gladwin Hospital, Gladwin, MI, CCN 231325

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301109020MIMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Branch Regional Medical Center Current Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Mymichigan Medical Center Midland CurrentSince Mar 26, 2019 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Mar 26, 2019 Accepting new patients
Mymichigan Medical Center West Branch Cardiovascular Disease CurrentSince Apr 12, 2021 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jul 16, 2016 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jul 16, 2016 Accepting new patients

Locations

3051 Kiesel Rd
Bay City, MI 48706
Phone (989) 778-2888

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

1414 W Fair Ave
Ste 342
Marquette, MI 49855
Phone (906) 225-3870

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

4201 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450

4201 Campus Ridge Dr
Ste 3100
Midland, MI 48670
Phone (989) 488-5470

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

2431 S M 30
Ste 216
West Branch, MI 48661
Phone (989) 343-1134

Interoperability endpoints

  • Direct secure messaging: williammichael.mellana@mghvi.directbygreenway.com
  • Direct secure messaging: wmellana75129@mymichiganhealth.midirect.net

Organizations & group practices 7

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 8

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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1710210679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486700001",
            "telephone_number": "989-633-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CAMPUS RIDGE DR STE 3100",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "48670",
            "telephone_number": "989-488-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLANA",
        "first_name": "WILLIAM MICHAEL",
        "middle_name": "PLAZA",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "258180",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MI",
            "license": "4301109020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.