MELISSA JACKSON M.D.
NPI 1861839995
Internal Medicine - Gastroenterology in Brooklyn, NY

Q: What is Melissa Jackson's NPI number?

The NPI number for Melissa Jackson is 1861839995. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Q: What is Melissa Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Jackson was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 30, 2013PECOS EnrolledAccepts Medicare Assignment

101 PENNSYLVANIA AVENUE, BROOKLYN, NY 11207(718) 240-2000(718) 240-2260 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2021, Apr 6, 2021, Feb 23, 2016 (3 updates tracked since 2016).

On this page

About Melissa Jackson M.d. NPPES

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

MELISSA JACKSON M.D. (NPI 1861839995) is an individual gastroenterology provider in Brooklyn, New York, licensed in New York (298787) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Brooklyn Hospital Center - Downtown Campus, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861839995

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameMELISSA JACKSONCredential: M.D.

Location Address101 PENNSYLVANIA AVENUEBrooklyn, NY 11207-2428

Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556

Phone(718) 240-2000

Fax(718) 240-2260

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateMay 30, 2013

Last NPPES UpdateOctober 1, 20253 updates tracked since enumeration

NPPES CertifiedOctober 1, 2025

✔ NPI 1861839995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NY · 298787

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License LP02856 (RI)

101 PENNSYLVANIA AVENUE, Brooklyn, NY 11207

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-4741 · Fax (401) 444-4445

Location 2125-06 101st Ave125-06 101st Ave, NY 11419-1412 · Phone (718) 849-2900 · Fax (718) 559-5468

Location 3447 Atlantic AveBrooklyn, NY 11217-1702 · Phone (718) 858-6300 · Fax (718) 858-0145

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

Melissa Jackson M.d. 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 ID7113146945

PECOS Enrollment IDI20190618000628

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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

51 services37 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

36 services36 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

14 services14 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Brooklyn Hospital Center - Downtown Campus

Acute Care Hospitals · Brooklyn, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330056

Location121 Dekalb AvenueBrooklyn, NY 11201 · Kings County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11207 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

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. HAITHAM M AHMED MD, MPH

Internal Medicine (Cardiovascular Disease)