Active NPI
Melvin Marlow Maclin II, M.D.
- Plastic and Reconstructive Surgery Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 2003020834
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2003020834 | MO | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Louis Medical Clinic, P.C. | Current | 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
- https://fhir4.healow.com/fhir/r4/BDDCDD
- 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.
-
- Infusion Therapy Clinic/Center
- Saint Louis, MO
- NPI 1174505127
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.