MELISSA JANE GREGORY (M.D.) – Pediatric Nephrology Physician, NPI 1386604460

MELISSA JANE GREGORY (M.D.) is a healthcare provider. based in Detroit, Michigan. specializing in NEPHROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301053235 (MI). The NPI Number for MELISSA JANE GREGORY (M.D.) is 1386604460

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA JANE GREGORY (M.D.)
NPI
1386604460
Phone
(313) 966-5051
Address
4201 ST. ANTIONE UHC 6F MAILBOX# 226
Enumeration Date
24 March 2006
Last Update Date
4 January 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3137455870
Graduation Year
1988 (38 years ago)
PAC ID
3577462118
Group Practice PAC ID
9638070568
Professional Enrollment ID
I20040102000692
Address ID
MI482012119DE3901XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

434 NEPHROLOGY in MI

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Provider Addresses for MELISSA JANE GREGORY (M.D.)

  • 4201 ST. ANTIONE UHC 6F MAILBOX# 226

    UNIVERSITY PEDIATRICIANS

    DETROIT, MI 48201

    Phone: (313) 966-5051

    Fax: (313) 966-0665

    Type: Mailing

  • Children's Hospital of Michigan, 3901, Beaubien Street, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    CHILDREN'S HOSPITAL OF MI

    DETROIT, MI 48201

    Phone: (313) 745-5604

    Fax: (313) 966-0039

    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: 2024-11-19

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
I20040102000692INephrologyMITBD
I20241119002034INephrologyMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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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: 9638070568View full group profile
NameSpecialtyState
Pediatric MedicineMI
Pediatric MedicineMI
Pediatric MedicineOH
Pediatric MedicineMI
Pediatric MedicineMI
Nurse PractitionerMI
-MI
Nephrology, Pediatric MedicineMI
-MI
Pediatric MedicineTN

Reviews

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Frequently asked questions

Can I cross-check MELISSA JANE GREGORY (M.D.) using NPI 1386604460?
NPI 1386604460 belongs to MELISSA JANE GREGORY (M.D.); compare other details if you need extra assurance.
Is there an active status for MELISSA JANE GREGORY (M.D.)?
For scheduling context, MELISSA JANE GREGORY (M.D.) is shown as active in the registry.
What kind of doctor is MELISSA JANE GREGORY (M.D.)?
MELISSA JANE GREGORY (M.D.) is associated with Pediatric Nephrology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MELISSA JANE GREGORY (M.D.) located near Detroit?
MELISSA JANE GREGORY (M.D.) currently maps to Detroit, Michigan in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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