Individual provider Active NPI

Melissa Pagan Pares, MD

  • Pediatric Endocrinology Physician
  • Annapolis, MD
National Provider Identifier
1902178023
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
D81960 Issued in MD
Practice address
2024 West St Ste 304
Annapolis, MD 21401-3556
Phone
(443) 203-8202
Fax
(443) 203-8601
NPI assigned
Feb 6, 2012
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X D81960 MD Primary

Addresses

Primary practice location

2024 West St Ste 304
Annapolis, MD 21401-3556

Mailing address

2201 Hempstead Tpke
East Meadow, NY 11554-1859

Other practice location 1

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-6233 ext. 6177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D81960MDMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Endocrinology of Annapolis Pediatric Endocrinology Current Accepting new patients
Pediatric Endocrinology of Annapolis Pediatric Endocrinology Current Accepting new patients
University of Maryland Pediatric Associates, PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2024 West St
Ste 304
Annapolis, MD 21401
Phone (443) 203-8202

Interoperability endpoints

  • Direct secure messaging: mpaganpares853141@direct.umm.edu

Organizations & group practices 4

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": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1902178023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 WEST ST STE 304",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013556",
            "telephone_number": "443-203-8202",
            "fax_number": "443-203-8601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541859",
            "country_code": "US",
            "telephone_number": "516-572-6233 x6177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGAN PARES",
        "first_name": "MELISSA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MD",
            "license": "D81960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.