MELISSA STATES – Internal Medicine Physician, NPI 1124778600

MELISSA STATES is a healthcare provider. based in Abington, Pennsylvania. specializing in INTERNAL MEDICINE. They hold a License No. OS024460 (PA). The NPI Number for MELISSA STATES is 1124778600

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA STATES
NPI
1124778600
Phone
Not provided
Address
1200 OLD YORK RD
Enumeration Date
27 March 2022
Last Update Date
17 June 2025

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2157802000
Graduation Year
2022 (4 years ago)
PAC ID
6103213798
Group Practice PAC ID
7012818008
Professional Enrollment ID
I20251008001124
Address ID
PA190464431RO400XXPIKE302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

Provider Addresses for MELISSA STATES

  • 1200 OLD YORK RD

    ABINGTON, PA 190013720

    Phone:

    Type: Mailing

  • 400 HUNTINGDON PIKE

    ROCKLEDGE, PA 190464431

    Phone:

    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: 2025-10-08

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
I20251008001124IInternal MedicinePATBD

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 19001)

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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: 7012818008View full group profile
NameSpecialtyState
Nurse PractitionerPA
Internal MedicinePA
-PA
Internal MedicinePA
Internal MedicinePA
-PA
Internal MedicinePA
Family PracticeNY
Internal MedicinePA
Internal MedicinePA

Reviews

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Frequently asked questions

What NPI should I save for MELISSA STATES?
Save NPI 1124778600 if you need a stable reference for MELISSA STATES.
Is MELISSA STATES currently active in the NPI registry?
CMS-published data lists MELISSA STATES as an active registrant.
Can you summarize MELISSA STATES's specialty in plain language?
Clinically, the directory lists MELISSA STATES with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MELISSA STATES's primary listing?
We display Abington, Pennsylvania because that is what the record indicates for MELISSA STATES.
Is MELISSA STATES a real provider?
This page reflects official NPPES data for NPI 1124778600. Always confirm identity and privileges with the practice and licensing boards.

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