NPIMap

Individual provider Active NPI

Emilio M Melchionna, M.D.

  • Neurology Physician
  • Springfield, MA
National Provider Identifier
1912908229
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
75882 Issued in MA
Practice address
300 Carew St
Suite 2
Springfield, MA 01104-2485
Phone
(413) 781-5050
Fax
(413) 781-2510
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 75882 MA Primary

Addresses

Primary practice location

300 Carew St
Suite 2
Springfield, MA 01104-2485

Mailing address

300 Carew St
Suite 2
Springfield, MA 01104-2485
Phone (413) 781-5050

Other practice location 1

175 Carew St Ste 140
Springfield, MA 01104-2389
Phone (413) 427-5401

Other identifiers 1

IdentifierTypeStateIssuer
3126218MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050513000491 MA Practitioner - Neurology 9335115021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Warren Alpert Medical School of Brown University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Affiliates of Cape Cod Inc 237 clinicians

Practice addresses (Care Compare)

46 N St
Suite 7
Hyannis, MA 02601-3845
Phone (508) 833-2639

Hospital & facility affiliations

  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Falmouth Hospital Hospital, Falmouth, MA, CCN 220135
  • Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Nov 12, 2022 Accepting new patients
Medical Affiliates of Cape Cod, Inc. Neurology CurrentSince Nov 12, 2022 Accepting new patients
Mercy Medical Group, Inc. CurrentSince Sep 1, 2020 Accepting new patients
The Mercy Hospital Inc PastSince Sep 1, 2020 Accepting new patients
New England Neurosurgical Assoc, LLC Past Accepting new patients
Mercy Specialist Physicians Inc PastSince Jan 23, 2013 Accepting new patients

Locations

46 North St
Ste 7
Hyannis, MA 02601
Phone (508) 775-2295

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

2 Jan Sebastian Dr
Sandwich, MA 02563
Phone (508) 833-8247

175 Carew St
Ste 150
Springfield, MA 01104
Phone (413) 452-6570

Organizations & group practices 6

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 3

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912908229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CAREW ST",
            "address_2": "SUITE 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042485",
            "telephone_number": "413-781-5050",
            "fax_number": "413-781-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CAREW ST",
            "address_2": "SUITE 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042485",
            "telephone_number": "413-781-5050",
            "fax_number": "413-781-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Carew St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011042389",
            "country_code": "US",
            "telephone_number": "413-427-5401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELCHIONNA",
        "first_name": "EMILIO",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "75882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126218",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.