Individual provider Active NPI

Melanie Dawn Palm, M.D.

  • Dermatology Physician
  • Solana Beach, CA
National Provider Identifier
1821265877
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A103899 Issued in CA
Practice address
437 S. Highway 101
Suite# 217
Solana Beach, CA 92075-2221
Phone
(858) 792-7546
Fax
(858) 792-7007
NPI assigned
May 9, 2008
Last updated
Dec 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A103899 CA Primary
Dermatology Physician 207N00000X 036120250 IL

Addresses

Primary practice location

437 S. Highway 101
Suite# 217
Solana Beach, CA 92075-2221

Mailing address

437 S. Highway 101
Suite# 217
Solana Beach, CA 92075-2221
Phone (858) 792-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101222000968 CA Practitioner - Dermatology 6002960457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Chicago, Pritzker School of Medicine, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

437S Hwy 101 217
Solana Beach, CA 92075-2221
Phone (858) 792-7546

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions1089
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103899CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Palm M.D., P.C. Dermatology CurrentSince Apr 3, 2012 Accepting new patients
Scripps Health Current Accepting new patients

Locations

437 S Highway 101
Ste 217
Solana Beach, CA 92075
Phone (858) 792-7546

Interoperability endpoints

  • Direct secure messaging: mpalm81424@scrippshlth.medalliesdirect.net

Organizations & group practices 2

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1821265877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 S. HIGHWAY 101",
            "address_2": "SUITE# 217",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752221",
            "telephone_number": "858-792-7546",
            "fax_number": "858-792-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S. HIGHWAY 101",
            "address_2": "SUITE# 217",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752221",
            "telephone_number": "858-792-7546",
            "fax_number": "858-792-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALM",
        "first_name": "MELANIE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A103899",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036120250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

Verify at the official NPI Registry.