Individual provider Active NPI

Melissa Ann Miara, D.O.

  • Pulmonary Disease Physician
  • Loris, SC
National Provider Identifier
1801231634
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
82104 Issued in SC
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812002384 SC Practitioner - Pulmonary Disease 4880989391 Reassigns benefits to 1 organization

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
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

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

LicenseStateTypeSpecialty
82104SCMDPulmonary Disease Physician
036140060ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Aug 1, 2019 Accepting new patients
McLeod Physician Associates II Internal Medicine Current Accepting new patients
McLeod Physician Associates II CurrentSince Aug 1, 2019 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

  • Direct secure messaging: mmiara19020@directmcleodehealth.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.