Active NPI
Melissa L Mashni, MD
- Family Medicine Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301108411
- Practice address
- 550 Cherry St SE
Grand Rapids, MI 49503-4748 - Phone
- (616) 235-7272
- Fax
- (616) 454-8611
- NPI assigned
- Apr 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301108411 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 61589-20 | WI |
Addresses
Primary practice location
550 Cherry St SE
Grand Rapids, MI 49503-4748
Mailing address
100 Cherry St SE
Grand Rapids, MI 49503-4526
Phone (616) 965-8200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2215 44TH St SW
Metro Health Southwest
Wyoming, MI 49519-6439
Phone (616) 252-8300
Hospital & facility affiliations
- Interim Healthcare of West Michigan
- University of Michigan Health - West
- Mary Free Bed Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301108411 | MI | MD | Family Medicine Physician |
| 61589-20 | WI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Hospital | Current | Accepting new patients | |
| Metropolitan Hospital | Family Medicine | Past | Accepting new patients |
| Metropolitan Hospital | Past | Accepting new patients | |
| Metropolitan Hospital | Past | Accepting new patients |
Locations
4285 Parkway Place Dr SW
Grandville, MI 49418
Phone (616) 252-4300
5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
2215 44th St SW
Ste 201A
Wyoming, MI 49519
2215 44th St SW
Wyoming, MI 49519
Phone (616) 252-8300
Interoperability endpoints
- mmashnireame131178@direct.metrohealth.net
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
- Family Medicine Physician
- Wyoming, MI
- NPI 1114947538
-
- Anatomic Pathology & Clinical Pathology Physician
- Wyoming, MI
- NPI 1336182542
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Grand Rapids, MI
- NPI 1871871350
-
- Rehabilitation Hospital
- Grand Rapids, MI
- NPI 1730133463
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1720346695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CHERRY ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034526",
"telephone_number": "616-965-8200",
"fax_number": "616-940-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 CHERRY ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034748",
"telephone_number": "616-235-7272",
"fax_number": "616-454-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASHNI",
"first_name": "MELISSA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-30",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301108411",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WI",
"license": "61589-20",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.