Individual provider Active NPI

Melissa Nassif-Pla, D.O.

  • Family Medicine Physician
  • Twinsburg, OH
National Provider Identifier
1972508182
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34005837 Issued in OH
Practice address
8819 Commons Blvd Ste 100
Twinsburg, OH 44087-4102
Phone
(330) 425-2212
Fax
(330) 425-2779
NPI assigned
Jun 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 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 34005837 OH Primary

Addresses

Primary practice location

8819 Commons Blvd Ste 100
Twinsburg, OH 44087-4102

Mailing address

24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (330) 425-2212

Other identifiers 1

IdentifierTypeStateIssuer
994303MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissanassifpla@uhps.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 18, 2024 through Nov 18, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5837OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physicians Centers Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mnassifpla21180@ehrdirect.uhhospitals.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1972508182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR BILLING SERVICES",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "330-425-2212",
            "fax_number": "330-425-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 COMMONS BLVD STE 100",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440874102",
            "telephone_number": "330-425-2212",
            "fax_number": "330-425-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSIF-PLA",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34005837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "994303",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissanassifpla@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Twinsburg Family Medicine",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8819 Commons Blvd Ste 100",
            "city": "Twinsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440874102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

Verify at the official NPI Registry.