Individual provider Active NPI

Melissa Nicole Burnside, MD, MHS

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1821447871
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020-03392 Issued in NC
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

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address melissa.burnside.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191001000286 NY Practitioner - Family Practice 4587904222 Reassigns benefits to 1 organization
I20200910002334 NC Practitioner - Family Practice 4587904222 Reassigns benefits to 2 organizations

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
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

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

LicenseStateTypeSpecialty
299038-01NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Aug 16, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Aug 16, 2019 Accepting new patients
Centerwell Senior Primary Care (NC) PC Family Medicine CurrentSince Sep 2, 2025 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Centerwell Senior Primary Care (NC), P.C. Family Medicine CurrentSince Sep 2, 2025 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

  • Direct secure messaging: meburnsi@montefioredirect.com
  • Direct secure messaging: mburnside463632@direct.medicine.duke.edu
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.