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DR. JAMES MARK MELIS M.D.
NPI 1992704233
Family Medicine in Whitestone, NY

Active since July 19, 2005PECOS Enrolled
99.15/100
CMS Quality Rating
150-55 14TH AVENUE, WHITESTONE, NY 11357(718) 559-3300(718) 559-3349 Get Directions Write a Review

NPPES record last updated: January 26, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. James Mark Melis M.d. NPPES

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

DR. JAMES MARK MELIS M.D. (NPI 1992704233) is an individual family medicine provider in Whitestone, New York, licensed in New York (255584-1) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1992704233
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES MARK MELISCredential: M.D.
Location Address150-55 14TH AVENUEWhitestone, NY 11357-2821
Mailing Address150-55 14th AvenueWhitestone, NY 11357 · (718) 559-3300 · Fax (718) 559-3349
Phone(718) 559-3300
Fax(718) 559-3349
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 19, 2005
Last NPPES UpdateJanuary 26, 2016
✔ NPI 1992704233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · 255584-1✔ Licensed in CT · 042156
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.
150-55 14TH AVENUE, Whitestone, NY 11357
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Mark Melis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800841875
PECOS Enrollment IDI20100120000313
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 Reassignment

Medicare enrollment records show James Melis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore Hematology Oncology Associates PC
40 mi
Specialist
49 NESCONSET HWY
Port Jefferson Station, NY 11776
  • Reassigned Medicare billing, New York enrollment
  • 636 clinicians in this Medicare group
NPI 1396794574 (631) 751-3000

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

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.

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.
338 services132 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
336 services108 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
96 services81 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
61 services54 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
57 services15 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
22 services20 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11357 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$8.59 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers56 claims56 services$12.41 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers40 claims40 services$6.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SOTIRIOS KASSAPIDIS MD
Internal Medicine (Critical Care Medicine)
150-55 14TH AVENUE
WHITESTONE, NY 11357
Queens County (718) 559-3300

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 James Melis's NPI number?

The NPI number for James Melis is 1992704233. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is James Melis located?

James Melis practices at 150-55 14th Avenue, Whitestone, NY 11357. The listed phone number is (718) 559-3300.

What is James Melis's specialty?

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

Is James Melis enrolled in Medicare?

Yes. James Melis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Melis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Melis reassigns Medicare benefits to North Shore Hematology Oncology Associates PC (Port Jefferson Station, NY). The 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 James Melis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Melis affiliated with any hospitals?

According to CMS data, James Melis is affiliated with Mount Sinai Hospital.

When was this NPI record last updated?

The NPPES record for James Melis was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.