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DR. MELISSA NICOLE BURNSIDE MD, MHS
NPI 1821447871
Family Medicine in Bronx, NY

Active since June 10, 2016PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2026, May 23, 2022, Feb 23, 2022 (3 updates tracked since 2022).

About Dr. Melissa Nicole Burnside Md, Mhs NPPES

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

DR. MELISSA NICOLE BURNSIDE MD, MHS (NPI 1821447871) is an individual family medicine provider in Bronx, New York, licensed in North Carolina (2020-03392) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Ohio State University College Of Medicine (2016).

NPPES Registry Identity

NPI1821447871
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MELISSA NICOLE BURNSIDECredential: MD, MHS
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4321
Phone(718) 920-4321
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2016
Enumeration DateJune 10, 2016
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1821447871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 2020-03392✔ Licensed in NY · 299038-01
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
111 E 210TH ST, Bronx, NY 10467
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13636 33rd St Ste 306Long Island City, NY 11106-2329 · Phone (844) 403-4325 · Fax (424) 625-0010
Location 2301 McCullough Dr Ste 400Charlotte, NC 28262-1336 · Phone (844) 403-4325 · Fax (424) 625-0010
Location 32910 East Franklin Blvd, Suite 1Gastonia, NC 28056 · Phone (704) 648-0460

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Melissa Nicole Burnside Md, Mhs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587904222
PECOS Enrollment IDI20191001000286
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Melissa Burnside reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
Same address
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
Duke University Affiliated Physicians, Inc.
399 mi
Family Medicine
480 RUIN CREEK RD
Henderson, NC 27536
  • Reassigned Medicare billing, North Carolina enrollment
  • 636 clinicians in this Medicare group
NPI 1932137676 (252) 492-3152
Centerwell Senior Primary Care (nc), P.C.
448 mi
Internal Medicine
378 HARDEN ST
Burlington, NC 27215
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Centerwell Senior Primary Care Nc PC
  • 67 clinicians in this Medicare group
NPI 1497575997 (336) 698-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Melissa Burnside's NPI number?

The NPI number for Melissa Burnside is 1821447871. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Where is Melissa Burnside located?

Melissa Burnside practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4321.

What is Melissa Burnside's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Melissa Burnside enrolled in Medicare?

Yes. Melissa Burnside is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melissa Burnside's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Burnside reassigns Medicare benefits to 3 organizations: Montefiore Medical Center (Bronx, NY), Duke University Affiliated Physicians, Inc. (Henderson, NC) and Centerwell Senior Primary Care (nc), P.C. (Burlington, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Burnside's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Burnside was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.