MARCELLO M. MELLINO (MD) – Cardiovascular Disease Physician, NPI 1003862335

MARCELLO M. MELLINO (MD) is a healthcare provider. based in Fairview park, Ohio. specializing in Cardiovascular Disease Physician. They hold the professional credentials MD. They hold a License No. 35041218 (OH). The NPI Number for MARCELLO M. MELLINO (MD) is 1003862335

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
MARCELLO M. MELLINO (MD)
NPI
1003862335
Phone
(440) 333-8600
Address
20455 LORAIN RD
Enumeration Date
26 May 2006
Last Update Date
12 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2169411044
Graduation Year
1974 (52 years ago)
PAC ID
5991603805
Group Practice PAC ID
4688571730
Professional Enrollment ID
I20050616000001
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

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Provider Addresses for MARCELLO M. MELLINO (MD)

  • 20455, Lorain Road, Fairview Park, Cuyahoga County, Ohio, 44126, United States

    SECOND FLOOR

    FAIRVIEW PARK, OH 441263494

    Phone: (440) 333-8600

    Fax: (440) 333-5015

    Mailing address matches the actual address.

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: 2005-06-16

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
I20050616000001IInternal MedicineOHTBD

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 44126)

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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: 4688571730View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineOH
-OH
Nurse PractitionerOH
-OH
-OH
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH
Physician AssistantOH
Physician AssistantOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARCELLO M. MELLINO (MD)?
MARCELLO M. MELLINO (MD) — NPI 1003862335 — is the standard way to identify this listing.
Is MARCELLO M. MELLINO (MD) still practicing?
MARCELLO M. MELLINO (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes MARCELLO M. MELLINO (MD)?
For research purposes, treat MARCELLO M. MELLINO (MD) as Cardiovascular Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is MARCELLO M. MELLINO (MD) based?
MARCELLO M. MELLINO (MD) is tied to Fairview Park, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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