Individual provider Active NPI

Melissa Lynn Cirillo, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Colorado Springs, CO
National Provider Identifier
1952564015
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
DR.0067478 Issued in CO
Practice address
24 S Weber St Ste 200
Colorado Springs, CO 80903-1928
Phone
(866) 226-8576
Fax
(719) 387-8974
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 2014-01752 NC
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X DR.0067478 CO Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 125050695 IL

Addresses

Primary practice location

24 S Weber St Ste 200
Colorado Springs, CO 80903-1928

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1390

Other practice location 1

1900 Randolph Rd Ste 1010
Charlotte, NC 28207
Phone (704) 384-1390

Other practice location 2

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcirillo660142@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC, IN, IA, GA, PA, CO, OR, SD9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20100104000518 IL Practitioner - NeurologyPractitioner - Pediatric Medicine 0648311308 Reassigns benefits to 1 organization
I20141125001575 NC Practitioner - NeurologyPractitioner - Pediatric Medicine 0648311308 Reassigns benefits to 2 organizations
I20220211001132 IN Practitioner - Neurology 0648311308 Reassigns benefits to 1 organization
I20220211001300 IA Practitioner - Neurology 0648311308 Reassigns benefits to 3 organizations
I20220214001595 GA Practitioner - Neurology 0648311308 Reassigns benefits to 2 organizations
I20220217000869 PA Practitioner - Neurology 0648311308 Reassigns benefits to 2 organizations
I20220221002128 CO Practitioner - Neurology 0648311308 Reassigns benefits to 2 organizations
I20220523001838 OR Practitioner - Neurology 0648311308 Reassigns benefits to 1 organization
I20240415003624 SD Practitioner - Neurology 0648311308 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0067478COMDNeurology with Special Qualifications in Child Neurology Physician
125050695ILMDNeurology with Special Qualifications in Child Neurology Physician
2014-01752NCMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Specialty Clinic CurrentSince Jul 20, 2022 Accepting new patients
St Clair Medical Services Inc CurrentSince Nov 2, 2023 Accepting new patients
Denver Health and Hospital Authority CurrentSince Feb 27, 2022 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Jul 30, 2022 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Apr 21, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Feb 17, 2024 Accepting new patients
St. Clair Medical Services, Inc. CurrentSince Nov 2, 2023 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Jul 30, 2022 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Mar 27, 2022 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Apr 21, 2024 Accepting new patients
Neurotech, LLC CurrentSince Jul 5, 2019 Accepting new patients
Denver Health and Hospital Authority CurrentSince Feb 27, 2022 Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Mar 27, 2022 Accepting new patients
Mercy Specialty Clinic CurrentSince Jul 20, 2022 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Feb 17, 2024 Accepting new patients
Neurotech, LLC CurrentSince Jun 30, 2021 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Current Accepting new patients
Wakemed CurrentSince Oct 22, 2023 Accepting new patients
Wakemed CurrentSince Oct 22, 2023 Accepting new patients

Locations

630 S Raymond Ave
Unit 310
Pasadena, CA 91105
Phone (626) 598-3770

777 Bannock St
Denver, CO 80204

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400

8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

1050 Bower Hill Rd
Ste 101
Pittsburgh, PA 15243
Phone (412) 343-1770

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

677 Cathedral Dr
Ste 200
Rapid City, SD 57701
Phone (605) 343-9224

Interoperability endpoints

  • Direct secure messaging: mcirillo19708@hhcs.direct-ci.com
  • Direct secure messaging: mcirillo263473@direct.dhha.org

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1952564015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-1390",
            "fax_number": "704-384-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S WEBER ST STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031928",
            "telephone_number": "866-226-8576",
            "fax_number": "719-387-8974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Randolph Rd Ste 1010",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28207",
            "country_code": "US",
            "telephone_number": "704-384-1390",
            "fax_number": "704-384-1063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101231",
            "country_code": "US",
            "telephone_number": "919-350-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIRILLO",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NC",
            "license": "2014-01752",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CO",
            "license": "DR.0067478",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "IL",
            "license": "125050695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcirillo660142@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1900 Randolph Rd Ste 1010",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.