Individual provider Active NPI

Melvin Marlow Maclin II, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1821198607
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
2003020834 Issued in MO
Practice address
3009 N Ballas Rd Ste 100B
Saint Louis, MO 63131-2322
Phone
(314) 432-1111
NPI assigned
Sep 22, 2006
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 2003020834 MO Primary

Addresses

Primary practice location

3009 N Ballas Rd Ste 100B
Saint Louis, MO 63131-2322

Mailing address

301 Nelda Ave
Kirkwood, MO 63122-5438
Phone (314) 398-4826

Other practice location 1

845 North New Ballas Road
Suite 300
St. Louis, MO 63141-7083
Phone (314) 569-0130

Other practice location 2

1400 LeMay Ferry Rd
Saint Louis, MO 63125-2408
Phone (314) 685-8721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20111026000056 MO Practitioner - Plastic and Reconstructive Surgery 1153594809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Howard University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Medical Clinic, P.C.Group PAC ID 2961496765, 11 clinicians

Practice addresses (Care Compare)

1400 Lemay Ferry Rd
Saint Louis, MO 63125-2408
Phone (314) 432-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2003020834MOMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Medical Clinic, P.C. CurrentSince Jun 9, 2025 Accepting new patients

Locations

1400 Lemay Ferry Rd
Saint Louis, MO 63125
Phone (314) 338-7955

3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDDCDD
  • Direct secure messaging: mmaclin18925@direct-ehr-ssmhc.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1821198607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NELDA AVE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225438",
            "telephone_number": "314-398-4826",
            "fax_number": "314-569-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD STE 100B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-432-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 North New Ballas Road",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "St. Louis",
            "state": "MO",
            "postal_code": "631417083",
            "country_code": "US",
            "telephone_number": "314-569-0130",
            "fax_number": "314-569-3674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 LeMay Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631252408",
            "country_code": "US",
            "telephone_number": "314-685-8721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACLIN",
        "first_name": "MELVIN",
        "middle_name": "MARLOW",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "2003020834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.