WILLIAM MICHAEL PLAZA JR. MELLANA (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1710210679

WILLIAM MICHAEL PLAZA JR. MELLANA (M.D.) is a healthcare provider. based in Midland, Michigan. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 258180 (MA). The NPI Number for WILLIAM MICHAEL PLAZA JR. MELLANA (M.D.) is 1710210679

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM MICHAEL PLAZA JR. MELLANA (M.D.)
NPI
1710210679
Phone
(989) 488-5470
Address
4201 CAMPUS RIDGE DR STE 3100
Enumeration Date
10 September 2009
Last Update Date
1 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898379250
Graduation Year
2003 (23 years ago)
PAC ID
0648578187
Group Practice PAC ID
2264323633
Professional Enrollment ID
I20160510000107
Address ID
MI486406123MI4500XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:16State licenses:2Digital endpointsOther names

120 CARDIAC ELECTROPHYSIOLOGY in MI

Provider Addresses for WILLIAM MICHAEL PLAZA JR. MELLANA (M.D.)

  • 4201 CAMPUS RIDGE DR STE 3100

    MIDLAND, MI 48670

    Phone: (989) 488-5470

    Type: Location

  • MidMichigan Medical Center, 4000, Wellness Drive, Midland, Midland County, Michigan, 48640, United States

    MIDLAND, MI 486700001

    Phone: (989) 633-8018

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2023-12-20 • Largest payer in this snapshot: Medtronic, Inc. ($64).

Total Amount

$80

General + Research + Ownership

Payments

2

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-05-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160510000107ICardiac ElectrophysiologyMITBD

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
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days1,330772$0
93280Programming of dual lead pacemaker system462435$0
93298Evaluation of cardiac rhythm monitor system, remote up to 30 days27984$0
99214Established patient office or other outpatient visit, 30-39 minutes220207$0
93295Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days217125$0
View full utilization report →

Insurance plans in this area (ZIP 48670)

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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: 2264323633View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Nurse PractitionerTX
Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Pulmonary Disease, Critical Care (Intensivists)MI
Physician AssistantMI
-MI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)LA

Reviews

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Frequently asked questions

Can I cross-check WILLIAM MICHAEL PLAZA JR. MELLANA (M.D.) using NPI 1710210679?
NPI 1710210679 belongs to WILLIAM MICHAEL PLAZA JR. MELLANA (M.D.); compare other details if you need extra assurance.
Is WILLIAM MICHAEL PLAZA JR. MELLANA (M.D.) shown as active in public data?
Registry records indicate WILLIAM MICHAEL PLAZA JR. MELLANA (M.D.) maintains an active NPI.
How would a patient describe WILLIAM MICHAEL PLAZA JR. MELLANA (M.D.)'s focus?
For WILLIAM MICHAEL PLAZA JR. MELLANA (M.D.), the primary taxonomy reads as Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with WILLIAM MICHAEL PLAZA JR. MELLANA (M.D.)?
Directory geography for WILLIAM MICHAEL PLAZA JR. MELLANA (M.D.) centers on Midland, Michigan.
Does WILLIAM MICHAEL PLAZA JR. MELLANA (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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