NPIMap

Individual provider Active NPI

Melanie Lynn Carlson, MD

  • Family Medicine Physician
  • Chardon, OH
National Provider Identifier
1932179272
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35077011 Issued in OH
Practice address
13221 Ravenna Rd
Suite 8
Chardon, OH 44024-9047
Phone
(440) 286-6155
Fax
(440) 286-6156
NPI assigned
Jan 26, 2006
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35077011 OH Primary

Addresses

Primary practice location

13221 Ravenna Rd
Suite 8
Chardon, OH 44024-9047

Mailing address

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026-2447
Phone (440) 214-8027

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melaniecarlson@uhps.allscriptsdirect.net

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
I20051208000782 OH Practitioner - Family Practice 3870514649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077011OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Feb 1, 2017 Accepting new patients
University Primary Care Practices Inc CurrentSince Feb 1, 2017 Accepting new patients
University Primary Care Practices Past Accepting new patients
North Ohio Heart Center Inc Family Medicine Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

13221 Ravenna Rd
Ste 8
Chardon, OH 44024
Phone (440) 286-6155

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

29325 Health Campus Dr
Ste 3
Westlake, OH 44145
Phone (440) 414-9400

Interoperability endpoints

  • Direct secure messaging: mcarlson37168@ehrdirect.uhhospitals.org
  • Direct secure messaging: melaniecarlson@uhps.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1932179272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 MAYFIELD RD",
            "address_2": "STE 105",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262447",
            "telephone_number": "440-214-8027",
            "fax_number": "216-201-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13221 RAVENNA RD",
            "address_2": "SUITE 8",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249047",
            "telephone_number": "440-286-6155",
            "fax_number": "440-286-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MELANIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35077011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melaniecarlson@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "13221 Ravenna Rd",
            "address_2": "SUITE 8",
            "city": "Chardon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440249047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

Verify at the official NPI Registry.