Active NPI
Melissa Lynn Cirillo, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- DR.0067478
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0067478 | CO | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 125050695 | IL | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 2014-01752 | NC | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Specialty Clinic | Current | Accepting new patients | |
| St Clair Medical Services Inc | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Mercy Medical Center-Dubuque | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| St. Clair Medical Services, Inc. | Current | Accepting new patients | |
| Mercy Medical Center-Dubuque | Current | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Neurotech, LLC | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| Mercy Specialty Clinic | Current | Accepting new patients | |
| St Clair Medical Services, Inc. | Current | Accepting new patients | |
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| Neurotech, LLC | Current | Accepting new patients | |
| Medical Associates of Clinton, Iowa P.L.C. | Current | Accepting new patients | |
| Wakemed | Current | Accepting new patients | |
| Wakemed | Current | 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
- mcirillo19708@hhcs.direct-ci.com
- 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.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1114243813
-
- General Acute Care Hospital
- Dubuque, IA
- NPI 1659348506
-
- Multi-Specialty Clinic/Center
- Clinton, IA
- NPI 1386832764
-
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
-
- Psychiatry Physician
- Pittsburgh, PA
- NPI 1467485565
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1104027879
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1194907717
-
- Neurology Physician
- Colorado Springs, CO
- NPI 1134307531
GA, IA, IL, NC, OR, PA
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- Rehabilitation Hospital
- Atlanta, GA
- NPI 1336961119
-
- Family Medicine Physician
- Clinton, IA
- NPI 1841244431
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.