Mark Manuel Melendez, M.D., M.B.A

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

052225 Issued in CT

Practice address

4 Corporate Dr Ste 288
Shelton, CT 06484-6240

NPI assigned

May 19, 2008

Last updated

Feb 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Specialty

Plastic and Reconstructive Surgery

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent's Medical Center Hospital, Bridgeport, CT, CCN 070028

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: markmanuel.melendez@xdr.hhchealthdirect.org
• FHIR API: https://api.platform.athenahealth.com/3854/brand/1/csg/1/fhir/r4

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.

• Cosmetic and Reconstructive Surgery Associates of Connecticut, PC

  • Specialist
  • Shelton, CT
  • NPI 1184021396
  Medicare reassignment NPD Authorized official
• Jeffrey a Arons, MD, PC

  • Plastic and Reconstructive Surgery Physician
  • Woodbridge, CT
  • NPI 1699780320
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SVMC Holdings, Inc

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1942224696
  Care Compare affiliation

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1982861860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CORPORATE DR STE 288",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846240",
            "telephone_number": "203-935-8160",
            "fax_number": "203-935-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CORPORATE DR STE 288",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Ivy Brook Rd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064846416",
            "country_code": "US",
            "telephone_number": "203-924-2900",
            "fax_number": "203-924-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "MARK",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CT",
            "license": "052225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John McWeeney, LCSW
• Meaningful Connexions Therapy LLC
• Medi-Ssage
• Medical Anesthesiology Associates P.C
• Frank M Mele, MD
• Margo M Melillo, APRN
• Sashery Mella
• Eduarda Melo
• Kenneth Melton, L.O.
• Rodrigo Mendes

• Plastic and Reconstructive Surgery Physician in Shelton, CT
• Providers in Shelton, CT by specialty
• Plastic and Reconstructive Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.