Active NPI
Melissa Nicole Burnside, MD, MHS
- Family Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2020-03392
- Practice address
- 111 E 210TH St
Bronx, NY 10467-2401 - Phone
- (718) 920-4321
- NPI assigned
- Jun 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2020-03392 | NC | Primary |
| Family Medicine Physician | 207Q00000X | 299038-01 | NY |
Addresses
Primary practice location
111 E 210TH St
Bronx, NY 10467-2401
Mailing address
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321
Other practice location 1
301 McCullough Dr Ste 400
Charlotte, NC 28262-1336
Phone (844) 403-4325
Other practice location 2
3636 33rd St Ste 306
Long Island City, NY 11106-2329
Phone (844) 403-4325
Other practice location 3
2910 East Franklin Blvd
Suite 1
Gastonia, NC 28056
Phone (704) 648-0460
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | melissa.burnside.1@29601.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3011 Boston Rd
Bronx, NY 10469-4002
Phone (866) 633-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299038-01 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Centerwell Senior Primary Care (NC) PC | Family Medicine | Current | Accepting new patients |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care (NC), P.C. | Family Medicine | Current | Accepting new patients |
Locations
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355
2100 Erwin Rd
#A
Durham, NC 27705
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
2910 E Franklin Blvd
Ste 1
Gastonia, NC 28056
Phone (704) 648-0460
111 E 210th St
Bronx, NY 10467
3011 Boston Rd
Bronx, NY 10469
Phone (718) 547-6111
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- meburnsi@montefioredirect.com
- mburnside463632@direct.medicine.duke.edu
- melissa.burnside.1@29601.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Internal Medicine Physician
- Gastonia, NC
- NPI 1073034625
Family Medicine
-
- Internal Medicine Physician
- Durham, NC
- NPI 1316975972
Family Medicine
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Internal Medicine Physician
- Burlington, NC
- NPI 1497575997
Family Medicine
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1710120795
Family Medicine
-
- Family Medicine Physician
- Durham, NC
- NPI 1740869395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1821447871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-4321"
}
],
"practiceLocations": [
{
"address_1": "301 McCullough Dr Ste 400",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282621336",
"country_code": "US",
"telephone_number": "844-403-4325",
"fax_number": "424-625-0010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3636 33rd St Ste 306",
"address_purpose": "LOCATION",
"city": "Long Island City",
"state": "NY",
"postal_code": "111062329",
"country_code": "US",
"telephone_number": "844-403-4325",
"fax_number": "424-625-0010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2910 East Franklin Blvd",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "28056",
"country_code": "US",
"telephone_number": "704-648-0460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNSIDE",
"first_name": "MELISSA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "MD, MHS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-10",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2020-03392",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "299038-01",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melissa.burnside.1@29601.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2910 East Franklin Blvd",
"address_2": "Suite 1",
"city": "Gastonia",
"state": "NC",
"country_code": "US",
"postal_code": "28056",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.