JOHN D MELLEN (MD) – Diagnostic Radiology Physician, NPI 1437181146
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,649 DIAGNOSTIC RADIOLOGY in MI
Provider Addresses for JOHN D MELLEN (MD)
2405 E 14 Mile Rd
Sterling Heights, MI 483105961
Phone: (586) 264-6079
Type: Location
1801 HARVEST LN
BLOOMFIELD HILLS, MI 483021227
Phone: (248) 895-8218
Type: Location
Telegraph Road, Bingham Farms, Southfield Township, Oakland County, Michigan, 48301, United States
SUITE 357
BINGHAM FARMS, MI 480254537
Phone: (248) 646-9806
Fax: (248) 646-9828
Type: Location
1801, Harvest Lane, Shorewood Hills, Bloomfield Hills, Oakland County, Michigan, 48302, United States
BLOOMFIELD HILLS, MI 483021227
Phone: (248) 626-0766
Fax: (248) 626-7498
Type: Mailing
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: 2005-05-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050526000079 | I | Diagnostic Radiology | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 77 | 77 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 61 | 59 | $0 |
| 76775 | Limited ultrasound scan behind abdominal cavity | 33 | 33 | $0 |
| 76770 | Complete ultrasound scan behind abdominal cavity | 23 | 23 | $0 |
| 76700 | Complete ultrasound scan of abdomen | 21 | 19 | $0 |
Insurance plans in this area (ZIP 48310)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MI | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 131 | 131 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | MI |
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