Melissa A Michelon, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

267010 Issued in MA

Practice address

281 Lincoln St
Worcester, MA 01605-2138

Phone

(508) 334-5979

Fax

(508) 334-6466

NPI assigned

Aug 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Dermatology

Education

Tufts University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermcare Physicians and Surgeons LLCGroup PAC ID 9234141904, 10 clinicians

Nesc Lpho LLCGroup PAC ID 9436396181, 4 clinicians

Adult and Pediatric Dermatology PCGroup PAC ID 7012988306, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emerson Hospital - Hospital, W Concord, MA, CCN 220084

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmichelon23309@umassmemorial.direct-ci.com
• Direct secure messaging: michelon.melissa.hrmd@direct.partners.masshiway.net

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.

• Adult & Pediatric Dermatology, P.C.

  • Dermatology Physician
  • Concord, MA
  • NPI 1285614834
  Medicare reassignment Care Compare group NPD
• Dermcare Physicians and Surgeons LLC

  • Dermatology Physician
  • Natick, MA
  • NPI 1780636597
  Medicare reassignment Care Compare group NPD
• Nesc Lpho LLC

  • MOHS-Micrographic Surgery Physician
  • Natick, MA
  • NPI 1215276415
  Medicare reassignment Care Compare group NPD
• Nesc Steward, LLC

  • MOHS-Micrographic Surgery Physician
  • Natick, MA
  • NPI 1538575386
  Medicare reassignment NPD
• Nesc Bidpo LLC

  • MOHS-Micrographic Surgery Physician
  • Natick, MA
  • NPI 1235478595

  Dermatology

  NPD
• Nesc Macipa LLC

  • MOHS-Micrographic Surgery Physician
  • Arlington, MA
  • NPI 1467791665

  Dermatology

  NPD
• Apderm Massachusetts PC

  • Dermatology Physician
  • Concord, MA
  • NPI 1679138879
  NPD (past)
• Apderm North, PC

  • Dermatology Physician
  • Westford, MA
  • NPI 1942508379
  NPD (past)
• Dermcare Mass LLC

  • Dermatology Physician
  • Chelmsford, MA
  • NPI 1033873419
  NPD (past)

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

• Emerson Hospital

  • General Acute Care Hospital
  • Concord, MA
  • NPI 1922103357
  Care Compare affiliation

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1982983235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052138",
            "telephone_number": "508-334-5979",
            "fax_number": "508-334-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELON",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "267010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110117793A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmichelon23309@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "281 Lincoln St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016052138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "281 Lincoln St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016052138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anesu Sascha Mhizha
• Angus J Michaels, M.D.
• Lillian Michalowski
• Robert Michaud Jr.
• Robert Michel
• Corey Michelson, MD
• Jared T Mickelson, D.O.
• Leah Micu
• Middlesex Transporters LLC
• Midia Home Healthcare

• Dermatology Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.