Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063565760 Individual Practitioner Female Practitioner

Dr. Melanie Carol Harris , MD

Pediatrics • Crown Point, IN

Professional Overview & Biography Verified Profile Summary

Dr. Melanie Harris, MD is a registered healthcare professional specializing in Pediatrics in Crown Point, IN. Practice services are available at 11161 RANDOLPH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11161 Randolph St

Crown Point, IN 463078564

Telephone 2196629424
Fax 2196627465
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Crown Point, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Crown Point, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01058131A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 036108713

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2001944601A (IN)

Secondary Practice Locations

1106 Neal Ave

Joliet, IL 604332548

Phone: 8157278869

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Selena Roggeveen , NP

Nurse Practitioner - Family

NPI 1134993041

Nurse Practitioner

Dr. Padmaja Sanaka , MD

Obstetrics & Gynecology

NPI 1255646055

Doctor of Medicine (M.D.)

Tana Kish , FNP-C

Nurse Practitioner - Family

NPI 1275311607

Family Nurse Practitioner (Certified)

Kimberly Lichtenfeld , NP

Nurse Practitioner - Pediatrics

NPI 1336572742

Nurse Practitioner

Dr. Cathleen Mok , DO

Family Medicine

NPI 1417005968

Doctor of Osteopathic Medicine (D.O.)

Dr. Latifa Barti , MD

Family Medicine

NPI 1457083545

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 19, 2023

Registered at 11161 RANDOLPH ST, CROWN POINT, IN 463078564 (Tel: 2196629424)

📍
Updated Business Mailing Address March 13, 2021

Registered at PO BOX 781076, DETROIT, MI 482781076 (Tel: 3175284800)

NPI Profile Active September 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2015

Registered at 1106 NEAL AVE, JOLIET, IL 604332548 (Tel: 8157278869)

📍
Updated Business Mailing Address September 01, 2015

Registered at 5841 S MARYLAND AVE, CHICAGO, IL 606371447 (Tel: 7738340497)

👤
Provider Name / Credentials Updated September 01, 2015

Recorded as MELANIE HARRIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2015

Pediatrics (License #01058131A in IN)

🟢
Initial NPI Registration & Enumeration January 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063565760
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: April 19, 2023
Sole Proprietor: No

Mailing Address

Po Box 781076

Detroit, MI 482781076

Phone: 3175284800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.