Individual provider Active NPI

Ross Richard Melvin, D.O.

  • Interventional Cardiology Physician
  • Panama City, FL
National Provider Identifier
1871856492
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
OS19614 Issued in FL
Practice address
625 W Baldwin Rd Ste C
Panama City, FL 32405-3359
Phone
(850) 769-0329
Fax
(844) 563-8135
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 5101020121 MI
Interventional Cardiology Physician 207RI0011X OS19614 FL Primary

Addresses

Primary practice location

625 W Baldwin Rd Ste C
Panama City, FL 32405-3359

Mailing address

625 W Baldwin Rd Ste C
Panama City, FL 32405-3359
Phone (850) 769-0329

Other identifiers 1

IdentifierTypeStateIssuer
OS19614OtherFLFLORIDA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230413002574 FL Practitioner - Interventional Cardiology 5294979316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Michigan State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Econfina Cardiology Group PAGroup PAC ID 0840180204, 18 clinicians

Practice addresses (Care Compare)

625 W Baldwin Rd
Suite C
Panama City, FL 32405-3359
Phone (850) 769-0329

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.35
Promoting interoperability
96
Improvement activities
40
Cost
75.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15
Pacemaker insertion or repair1-10
Varicose vein removal32
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS19614FLMDInterventional Cardiology Physician
5101020121MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Econfina Cardiology Group, PA CurrentSince May 1, 2023 Accepting new patients

Locations

1936 Jenks Ave
Panama City, FL 32405
Phone (850) 763-5959

801 E 6th St
Panama City, FL 32401
Phone (850) 747-6018

625 W Baldwin Rd
Ste C
Panama City, FL 32405
Phone (850) 769-6612

625 W Baldwin Rd
Ste D
Panama City, FL 32405
Phone (850) 820-7900

17745 Ashley Dr
Panama City Beach, FL 32413

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1871856492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053359",
            "telephone_number": "850-769-0329",
            "fax_number": "844-212-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053359",
            "telephone_number": "850-769-0329",
            "fax_number": "844-563-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "ROSS",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101020121",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "OS19614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "OS19614",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.