MELISSA TOM (MD) – Emergency Medicine Physician, NPI 1851372684

MELISSA TOM (MD) is a healthcare provider. based in Berkeley, California. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. A88912 (CA). The NPI Number for MELISSA TOM (MD) is 1851372684

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA TOM (MD)
NPI
1851372684
Phone
(510) 843-1200
Address
3010 COLBY ST
Enumeration Date
9 November 2005
Last Update Date
10 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034137711
Graduation Year
1999 (27 years ago)
PAC ID
8628060332
Group Practice PAC ID
0547179939
Professional Enrollment ID
I20150423002241
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MELISSA TOM (MD)

  • 3010, Colby Street, Elmwood, Berkeley, Alameda County, California, 94705, United States

    STE 212

    BERKELEY, CA 947052059

    Phone: (510) 843-1200

    Fax: (510) 843-1020

    Type: Mailing

  • 3010 COLBY ST STE 212

    BERKELEY, CA 947052059

    Phone: (543) 843-1200

    Fax: (510) 843-1020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150423002241IEmergency MedicineORTBD
I20200412000116IEmergency MedicineWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making174167$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only110103$0
99284Emergency department visit with moderate level of medical decision making5049$0
99291Critical care, first 30-74 minutes3333$0
71045X-ray of chest, 1 view2121$0
View full utilization report →

Insurance plans in this area (ZIP 94705)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547179939View full group profile

Reviews

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Frequently asked questions

How do I look up MELISSA TOM (MD) by NPI?
Use NPI 1851372684 when you need to reference MELISSA TOM (MD) in forms, claims, or directories.
Is MELISSA TOM (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MELISSA TOM (MD) treat or focus on?
Patients typically see MELISSA TOM (MD) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MELISSA TOM (MD)?
The snapshot lists Berkeley, California for MELISSA TOM (MD); download NPPES for the complete set.
How can I contact MELISSA TOM (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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