Active NPI
Melissa Ann Miara, D.O.
- Pulmonary Disease Physician
- Loris, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 82104
- Practice address
- 3617 Casey St Ste C
Loris, SC 29569 - Phone
- (843) 716-7911
- Fax
- (843) 716-7918
- NPI assigned
- May 7, 2013
- Last updated
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036140060 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 82104 | SC | Primary |
| Hospitalist Physician | 208M00000X | 036140060 | IL |
Addresses
Primary practice location
3617 Casey St Ste C
Loris, SC 29569
Mailing address
3617 Casey St Ste C
Loris, SC 29569-2981
Phone (843) 716-7911
Other practice location 1
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 888-2515
Other practice location 2
5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 989-3833
Other practice location 3
5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 989-3833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Pulmonary Disease
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 McLeod Health Blvd
Suite 201
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001
107 McLeod Health Blvd
Myrtle Beach, SC 29579-4477
115 McLeod Health Blvd
Myrtle Beach, SC 29579-4477
3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 777-7000
4000 Hwy 9 E
Little River, SC 29566-7833
Phone (843) 777-7000
4000 Hwy 9 W
Suite 245
Little River, SC 29566-7833
Phone (843) 366-2940
800 E Cheves St
Florence, SC 29506-2650
800 E Cheves St
Florence, SC 29506-2652
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82104 | SC | MD | Pulmonary Disease Physician |
| 036140060 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Internal Medicine | Current | Accepting new patients |
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Past | Accepting new patients |
Locations
506 E Cheves St
#202
Florence, SC 29506
Phone (843) 777-5091
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
3980 Highway 9 E
Ste 340
Little River, SC 29566
Phone (843) 390-8302
3617 Casey St
Ste C
Loris, SC 29569
Phone (843) 716-7911
Interoperability endpoints
- mmiara19020@directmcleodehealth.org
- mmiara305579@direct.hfhs.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.
-
- Family Medicine Physician
- Florence, SC
- NPI 1801990494
Internal Medicine
-
dba McLeod Psychiatric Associates
- Psychiatry Physician
- Darlington, SC
- NPI 1629189766
-
dba McLeod Orthopaedics - Florence
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
-
dba McLeod Nephrology Associates
- Nephrology Physician
- Florence, SC
- NPI 1437541901
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grand Strand Medical Center
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
-
dba Loris Community Hospital
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1801231634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 CASEY ST STE C",
"city": "LORIS",
"state": "SC",
"postal_code": "295692981",
"telephone_number": "843-716-7911",
"fax_number": "843-716-7918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 CASEY ST STE C",
"city": "LORIS",
"state": "SC",
"postal_code": "29569",
"telephone_number": "843-716-7911",
"fax_number": "843-716-7918"
}
],
"practiceLocations": [
{
"address_1": "28050 Grand River Ave",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "48336",
"country_code": "US",
"telephone_number": "248-888-2515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5145 N California Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606253661",
"country_code": "US",
"telephone_number": "773-989-3833",
"fax_number": "773-878-3753",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5145 N California Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606253661",
"country_code": "US",
"telephone_number": "773-989-3833",
"fax_number": "773-878-3753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIARA",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-07",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036140060",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "SC",
"license": "82104",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036140060",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loris, SC
- McLeod Physician Associates II (McLeod Pediatric Associates)
- McLeod Regional Medical Center of the Pee Dee, Inc (Southern Medical Associates)
- McLeod Regional Medical Center of the Pee Dee, Inc (McLeod Cardiology Associates Loris)
- Meds & More LLC (Sherry's Meds & More Pharmacy)
- David Meno
- Michael L Mills, OD
- Timothy C Mills, M.D.
- Michael J Mitchell, MD
- James N Moore III, MD
- Catherine N Njuguna, CDR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.