CHRISTOPHER J MCMELLEN MD
NPI 1336702216
Orthopaedic Surgery - Sports Medicine in Dearborn, MI

Q: What is Christopher Mcmellen's NPI number?

The NPI number for Christopher Mcmellen is 1336702216. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Q: What is Christopher Mcmellen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since April 17, 2019PECOS EnrolledAccepts Medicare Assignment

23550 PARK ST STE 100, DEARBORN, MI 48124(313) 730-0500(313) 730-0606 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2025, Aug 2, 2024, Feb 11, 2024 and 1 more (4 updates tracked since 2019).

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About Christopher J Mcmellen Md NPPES

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

CHRISTOPHER J MCMELLEN MD (NPI 1336702216) is an individual sports medicine provider in Dearborn, Michigan, licensed in Michigan (4301514122) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and is a graduate of Wright State University Boonshoft School Of Medicine (2019).

NPPES Registry Identity

NPI1336702216

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameCHRISTOPHER J MCMELLENCredential: MD

Location Address23550 PARK ST STE 100Dearborn, MI 48124-2592

Mailing Address23550 Park St Ste 100Dearborn, MI 48124-2592 · (313) 730-0500 · Fax (313) 730-0606

Phone(313) 730-0500

Fax(313) 730-0606

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2019

Enumeration DateApril 17, 2019

Last NPPES UpdateAugust 28, 20254 updates tracked since enumeration

NPPES CertifiedAugust 28, 2025

✔ NPI 1336702216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in MI · 4301514122

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 4301514122 (MI)

23550 PARK ST STE 100, Dearborn, MI 48124

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Christopher J Mcmellen 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 ID9739627092

PECOS Enrollment IDI20250815001754

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230002

Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County

Emergency services Birthing friendly

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230020

Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

MRS. JACLYN MAE PHILLION ACAGNP

Nurse Practitioner (Acute Care)

23550 PARK ST STE 100
DEARBORN, MI 48124

Wayne County (313) 730-0500

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 Christopher Mcmellen's NPI number?

The NPI number for Christopher Mcmellen is 1336702216. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Christopher Mcmellen located?

Christopher Mcmellen practices at 23550 Park St Ste 100, Dearborn, MI 48124. The listed phone number is (313) 730-0500.

What is Christopher Mcmellen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Christopher Mcmellen enrolled in Medicare?

Yes. Christopher Mcmellen 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.

What insurance does Christopher Mcmellen accept?

Health plans from Medica list Christopher Mcmellen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Christopher Mcmellen affiliated with any hospitals?

According to CMS data, Christopher Mcmellen is affiliated with St Joe Mercy Hospital System Livonia and Beaumont Hospital - Dearborn.

When was this NPI record last updated?

The NPPES record for Christopher Mcmellen was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.