Individual provider Active NPI

Richard D Michaelson, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1023078243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
18719 Issued in TN
Practice address
400 N Highland Ave
Middle TN Medical Center
Murfreesboro, TN 37133
Phone
(615) 396-4489
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 18719 TN Primary

Addresses

Primary practice location

400 N Highland Ave
Middle TN Medical Center
Murfreesboro, TN 37133

Mailing address

PO Box 1069
Madison, TN 37116-1069
Phone (615) 868-1266

Other identifiers 2

IdentifierTypeStateIssuer
2006591OtherTNBLUE CROSS
3032197MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090811000728 TN Practitioner - Pathology 6103970090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical University of South Carolina College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acla PCGroup PAC ID 9133117534, 13 clinicians

Practice addresses (Care Compare)

1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4489

2000 Church St
Nashville, TN 37236-0001
Phone (615) 284-5229

Hospital & facility affiliations

  • Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053
  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
  • Saint Thomas River Park Hospital Hospital, McMinnville, TN, CCN 440151
  • Dekalb Community Hospital Hospital, Smithville, TN, CCN 440148

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18719TNMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lab Plus, LLC Current Accepting new patients
Acla PC CurrentSince May 1, 2019 Accepting new patients

Locations

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

2004 Hayes St
#30
Nashville, TN 37203

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023078243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1069",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371161069",
            "telephone_number": "615-868-1266",
            "fax_number": "615-868-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N HIGHLAND AVE",
            "address_2": "MIDDLE TN MEDICAL CENTER",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37133",
            "telephone_number": "615-396-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELSON",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "TN",
            "license": "18719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2006591",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3032197",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.