Melissa Ann Deniel, M.D.
Individual provider Active NPI Sports Medicine (Orthopaedic Surgery) Physician · Big Rapids, MI
NPI 1821026667 · NPPES record last updated Oct 24, 2024
Key facts
- NPI
- 1821026667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License
- 4301061790 (MI)
- Practice address
- 705 Oak St
Suite 11
Big Rapids, MI 49307-3107 - Phone
- (231) 592-1002
- Fax
- (231) 305-3093
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of Wisconsin School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mecosta County Medical Center
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
605 Oak St
Big Rapids, MI 49307-2048
Phone (231) 592-1079
705 Oak St
Big Rapids, MI 49307-3108
Hospital & facility affiliations
- Corewell Health Big Rapids Hospital
- Corewell Health Reed City Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 33 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050822001307 | MI | Practitioner - Orthopedic Surgery | 9931130796 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301061790 | MI | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mecosta County Medical Center | Orthopaedic Surgery | Current |
Accepting new patients |
| Reed City Hospital Corporation | Current |
Accepting new patients | |
| Mecosta County Medical Center | Current |
Accepting new patients | |
| Reed City Hospital Corporation | Current |
Accepting new patients | |
| Mecosta County Medical Center | Current | Accepting new patients |
Locations
605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079
705 Oak St
Unit 11
Big Rapids, MI 49307
Phone (231) 592-1002
705 Oak St
Unit 1
Big Rapids, MI 49307
Phone (231) 592-4356
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271
Interoperability endpoints
- mdeniel6372@epic00.shdirect.org
- mdeniel6372@epic00.corewelldirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 4301061790 | MI | Yes |
| Orthopaedic Surgery Physician | 207X00000X | 4301061790 | MI |
Addresses
Primary practice location
705 Oak St
Suite 11
Big Rapids, MI 49307-3107
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790
Other names
- Melissa Ann Stephens
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdeniel6372@epic00.shdirect.org | ||
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/ |
Other providers in Big Rapids, MI
- David Eugene Degraff Jr.
- Ian Degram
- Monica J Delaney
- Courtney Deline
- Savanna Kristine Deloach
- Gail A Desnoyers
- Sarah Marie Devries
- James Ryan Dietrick
- Amy Elaine Dinardo
- Stacy M Dodd
All providers in Big Rapids, MI · Sports Medicine (Orthopaedic Surgery) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.