NPIMap

Individual provider Active NPI

Melissa A Dove, PA-C

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1902854128
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50-00-2071 Issued in OH
Practice address
5520 Cheviot Road
Cincinnati, OH 45247-7069
Phone
(513) 451-4033
Fax
(513) 451-4118
NPI assigned
May 4, 2006
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50-002071 OH
Physician Assistant 363A00000X 50-00-2071 OH Primary

Addresses

Primary practice location

5520 Cheviot Road
Cincinnati, OH 45247-7069

Mailing address

5520 Cheviot Road
Cincinnati, OH 45247-7069
Phone (513) 451-4033

Other identifiers 1

IdentifierTypeStateIssuer
9500492500MedicaidKY

Other names 1

  • Miss Melissa A Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000688 OH Practitioner - Physician Assistant 1557350626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Toledo Medical College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

100 Arrow Springs Blvd
Lebanon, OH 45036-7002
Phone (513) 793-2654

110 N Poplar St
Oxford, OH 45056-1204

375 Dixmyth Ave
Cincinnati, OH 45220-2475

379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50-002071OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth G LLC Physician Assistant CurrentSince Jan 1, 2016 Accepting new patients
Trihealth H LLC Physician Assistant CurrentSince Nov 1, 2021 Accepting new patients
Trihealth Oncology Institute, LLC Past Accepting new patients
University Internal Medicine Associates, Inc. Physician Assistant Past Accepting new patients
Oncology Partners Network LTD Past Accepting new patients
University Hematology Oncology Care, Inc. Past Accepting new patients
Trihealth Physician Institute Physician Assistant Past Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

Interoperability endpoints

  • Direct secure messaging: mdove26916@direct.trihealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1902854128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 CHEVIOT ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477069",
            "telephone_number": "513-451-4033",
            "fax_number": "513-451-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 CHEVIOT ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477069",
            "telephone_number": "513-451-4033",
            "fax_number": "513-451-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVE",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-002071",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-00-2071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9500492500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CLARK",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.