Active NPI
Melissa S Palazzo, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 43626
- Practice address
- 400 N State of Franklin Rd
Room 2746
Johnson City, TN 37604-6035 - Phone
- (423) 431-2390
- Fax
- (423) 431-6715
- NPI assigned
- Aug 22, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 021636 | LA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 43626 | TN | Primary |
Addresses
Primary practice location
400 N State of Franklin Rd
Room 2746
Johnson City, TN 37604-6035
Mailing address
400 N State of Franklin Rd
Room 2746
Johnson City, TN 37604-6035
Phone (423) 431-2390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1507621 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- Internal Medicine
- Education
- University of Utah School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1497 W Elk Ave
Elizabethton, TN 37643-2896
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-4847
408 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-4946
Hospital & facility affiliations
- Johnson City Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021636 | LA | MD | Specialist |
| 43626 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Pulmonary & Critical Care Specialists, L.L.C. | Specialist | Past | Accepting new patients |
| University of Utah Hospitals and Clinics | Past | Accepting new patients |
Locations
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
400 N State of Franklin Rd
Rm 2746
Johnson City, TN 37604
Phone (423) 431-2727
2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Pediatrics Physician
- Kingsport, TN
- NPI 1396049938
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- Specialist
- Shreveport, LA
- NPI 1730156845
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1982642252
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1740272020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N STATE OF FRANKLIN RD",
"address_2": "ROOM 2746",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046035",
"telephone_number": "423-431-2390",
"fax_number": "423-431-6715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N STATE OF FRANKLIN RD",
"address_2": "ROOM 2746",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046035",
"telephone_number": "423-431-2390",
"fax_number": "423-431-6715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALAZZO",
"first_name": "MELISSA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "021636",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TN",
"license": "43626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1507621",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.