Active NPI
Melissa Mercado, MD
- Neurocritical Care Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- 264421
- Practice address
- 3300 Main Street
3Rd FL, Suite C&D
Springfield, MA 01107-1112 - Phone
- (413) 794-5600
- Fax
- (413) 794-7297
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurocritical Care Physician | 2084A2900X | 264421 | MA | Primary |
Addresses
Primary practice location
3300 Main Street
3Rd FL, Suite C&D
Springfield, MA 01107-1112
Mailing address
759 Chestnut St
Springfield, MA 01199-2371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110094064A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Boston University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Main St
Springfield, MA 01107-1112
Phone (413) 794-7031
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 264421 | MA | MD | Neurocritical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Medical Practices, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Baystate Medical Center Inc | Past | Accepting new patients |
Locations
736 Cambridge St
#8
Brighton, MA 02135
Phone (617) 789-2375
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
3300 Main St
Fl 3
Springfield, MA 01107
Phone (413) 794-7364
3300 Main St
Springfield, MA 01107
Phone (413) 794-7031
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 and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
dba Baystate Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baystate Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
dba Baystate Reference Laboratories
- Clinical Medical Laboratory
- Springfield, MA
- NPI 1568488450
Hospital
-
dba Baystate Wing Hospital & Medical Centers
- General Acute Care Hospital
- Palmer, MA
- NPI 1962410233
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Psychiatric Hospital Unit
- Northampton, MA
- NPI 1871512814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1912135336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 CHESTNUT ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011992371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 MAIN STREET",
"address_2": "3RD FL, SUITE C&D",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071112",
"telephone_number": "413-794-5600",
"fax_number": "413-794-7297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "MELISSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-24",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "MA",
"license": "264421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110094064A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.