NPIMap

Individual provider Active NPI

Melissa L Dubois, M.D.

  • Obstetrics & Gynecology Physician
  • Wyomissing, PA
National Provider Identifier
1932355856
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD446045 Issued in PA
Practice address
1040 Reed Ave
Suite 4
Wyomissing, PA 19610-2029
Phone
(610) 898-7560
Fax
(610) 898-7561
NPI assigned
Aug 12, 2008
Last updated
Nov 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT193873 PA
Obstetrics & Gynecology Physician 207V00000X MD446045 PA Primary

Addresses

Primary practice location

1040 Reed Ave
Suite 4
Wyomissing, PA 19610-2029

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other identifiers 1

IdentifierTypeStateIssuer
102731419MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120803000539 PA Practitioner - Obstetrics/Gynecology 2163678301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

9807 Bustleton Ave
Philadelphia, PA 19115-3212
Phone (215) 676-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT193873PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services CurrentSince Oct 1, 2021 Accepting new patients
Tower Health Medical Group CurrentSince Jan 18, 2013 Accepting new patients
HR Physician Services CurrentSince Oct 1, 2021 Accepting new patients
Tower Health Medical Group CurrentSince Jan 18, 2013 Accepting new patients
HR Physician Services Obstetrics & Gynecology Current Accepting new patients
HR Physician Services Past Accepting new patients
Holy Redeemer Health System Past Accepting new patients
Tower Health Medical Group Obstetrics & Gynecology Past Accepting new patients

Locations

3300 Tillman Dr
Bensalem, PA 19020
Phone (215) 244-7400

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1650 Huntingdon Pike
Ste 118
Meadowbrook, PA 19046
Phone (215) 914-2600

7390 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 268-9480

9807 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 676-2200

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

1040 Reed Ave
#4
Wyomissing, PA 19610
Phone (610) 898-7560

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

950B N Wyomissing Blvd
Wyomissing, PA 19610
Phone (610) 898-1820

Interoperability endpoints

  • Direct secure messaging: melissa.dubois.1@17399.direct.athenahealth.com

Organizations & group practices 9

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 1

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1932355856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 REED AVE",
            "address_2": "SUITE 4",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102029",
            "telephone_number": "610-898-7560",
            "fax_number": "610-898-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT193873",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD446045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102731419",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.