KATHLEEN E. MELVILLE MD
NPI 1174968895
Internal Medicine - Critical Care Medicine in New York, NY

Active since May 08, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
622 W 168TH ST, NEW YORK, NY 10032(212) 305-9817(212) 305-8464 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2022, Jun 29, 2021, Mar 22, 2016 (3 updates tracked since 2016).

About Kathleen E. Melville Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN E. MELVILLE MD (NPI 1174968895) is an individual critical care medicine provider in New York, New York, licensed in New York (292594) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174968895
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameKATHLEEN E. MELVILLECredential: MD
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address630 W 168th St # 4New York, NY 10032-3725 · (212) 305-9817 · Fax (212) 305-8464
Fax(212) 305-8464
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 8, 2013
Last NPPES UpdateMay 17, 20223 updates tracked since enumeration
NPPES CertifiedMay 17, 2022
NPI 1174968895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in NY · 292594
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD457320 (PA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 292594 (NY)
622 W 168TH ST, New York, NY 10032

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathleen E. Melville Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476850702
PECOS Enrollment IDI20210706003043
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
270 services85 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
71 services30 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
56 services53 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
40 services26 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
37 services37 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Melville's NPI number?

The NPI number for Kathleen Melville is 1174968895. It was assigned to this individual provider in the NPPES registry on May 8, 2013.

Where is Kathleen Melville located?

Kathleen Melville practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-9817.

What is Kathleen Melville's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Kathleen Melville enrolled in Medicare?

Yes. Kathleen Melville is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathleen Melville was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.