Individual provider Active NPI

Michelle Ann Mellon, M.D.

  • Anesthesiology Physician
  • Shelbyville, IN
National Provider Identifier
1720242217
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01065948 Issued in IN
Practice address
150 W Washington St
Shelbyville, IN 46176-1236
Phone
(317) 398-5299
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01065948 IN Primary

Addresses

Primary practice location

150 W Washington St
Shelbyville, IN 46176-1236

Mailing address

150 W Washington St
Shelbyville, IN 46176-1236
Phone (317) 398-5299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100817001351 IN Practitioner - Anesthesiology 5395879027 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Major HospitalGroup PAC ID 0446167415, 100 clinicians

Practice addresses (Care Compare)

2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 392-3211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01065948INMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aas Indiana LLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
X-Ray Physicians of Shelbyville PC Current Accepting new patients
Major Hospital CurrentSince Jul 9, 2010 Accepting new patients
Johnson Memorial Hospital CurrentSince Jun 1, 2020 Accepting new patients
Major Hospital CurrentSince Jul 9, 2010 Accepting new patients
Community Anesthesia Associates, PC Anesthesiology CurrentSince May 1, 2024 Accepting new patients
Johnson Memorial Hospital CurrentSince Jun 1, 2020 Accepting new patients

Locations

151 Pennsylvania Pkwy
Carmel, IN 46280
Phone (317) 817-1100

4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

6850 Parkdale Pl
Indianapolis, IN 46254
Phone (317) 329-7209

8501 Harcourt Rd
Indianapolis, IN 46260
Phone (317) 471-4339

8040 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 254-5740

8830 S Meridian St
Indianapolis, IN 46217
Phone (317) 865-5029

9660 E Washington St
Ste 200
Indianapolis, IN 46229
Phone (317) 329-7203

3300 W Purdue Ave
Muncie, IN 47304
Phone (765) 287-9579

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121

1626 E State Road 44
Ste B
Shelbyville, IN 46176
Phone (317) 392-3211

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

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 1

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1720242217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761236",
            "telephone_number": "317-398-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461761236",
            "telephone_number": "317-398-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLON",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01065948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.