Individual provider

Melissa Jackson, M.D.

Gastroenterology Physician Internal Medicine Physician Medicare enrolled

Melissa Jackson, M.D. is a Gastroenterology Physician in Brooklyn, NY, registered under NPI 1861839995. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 101 PENNSYLVANIA AVENUE, Brooklyn, NY 11207. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

101 PENNSYLVANIA AVENUE, Brooklyn, NY 11207 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
298787 NY Gastroenterology Physician primary
LP02856 RI Internal Medicine Physician

Licences are recorded in 2 states: NY, RI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Gastroenterology
PAC ID
7113146945
Enrollment ID
I20190618000628

Medicare enrolment is recorded as approved under the provider type Practitioner - Gastroenterology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: New York and Rhode Island. The practice address on file is in Brooklyn, NY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NY New York practice address
Licence
298787
Specialty
Gastroenterology Physician
Verify with the NY board →
RI Rhode Island
Licence
LP02856
Specialty
Internal Medicine Physician
Verify with the RI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Gastroenterology covers

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. NUCC Health Care Provider Taxonomy, code 207RG0100X
Allopathic & Osteopathic Physicians Internal Medicine Gastroenterology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RG0100X Gastroenterology Physician Gastroenterology 298787 NY primary
207R00000X Internal Medicine Physician LP02856 RI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1861839995 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 30, 2013
Last updatedOct 1, 2025
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 101 PENNSYLVANIA AVENUE
Brooklyn, NY 11207
(718) 240-2000
Fax (718) 240-2260
Mailing address 55 WATER ST FL 2
New York, NY 10041
This record was updated on Oct 1, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1861839995 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 6 1 8 3 9 9 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 3 1 7 3 9 9 9

Sum = 75 · next multiple of 10 = 80 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1861839995?
NPI 1861839995 is the National Provider Identifier assigned to Melissa Jackson, M.D. in Brooklyn, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Gastroenterology cover?
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes…
How do I contact Melissa Jackson, M.D.?
The phone number on file with NPPES is (718) 240-2000, last updated Oct 1, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Melissa Jackson, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1861839995 a valid number?
Yes. 1861839995 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.