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

Q: 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.

Q: What is Melissa Burnside's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

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Secondary Practice Locations 3

Location 1301 McCullough Dr Ste 400Charlotte, NC 28262-1336 · Phone (844) 403-4325 · Fax (424) 625-0010

Location 23636 33rd St Ste 306Long Island City, NY 11106-2329 · 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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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. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

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)