Individual provider Active NPI

Michael M Mikhail, M.D.

  • Medical Oncology Physician
  • Malvern, PA
National Provider Identifier
1043384035
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD045335L Issued in PA
Practice address
111 Shandon PL
Malvern, PA 19355-3176
Phone
(610) 314-3657
Fax
(610) 578-0521
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X DR.0069833 CO
Medical Oncology Physician 207RX0202X C1-0028437 DE
Medical Oncology Physician 207RX0202X MD045335L PA Primary

Addresses

Primary practice location

111 Shandon PL
Malvern, PA 19355-3176

Mailing address

111 Shandon PL
Malvern, PA 19355-3176
Phone (610) 314-3657

Other practice location 1

2121 E Harmony Rd Unit 170
Fort Collins, CO 80528-3413
Phone (970) 493-6337

Other practice location 2

4701 Ogletown Stanton Road
Suite 2300
Newark, DE 19713-2055
Phone (302) 731-7782

Other identifiers 3

IdentifierTypeStateIssuer
00015550830002MedicaidPA
0276947000OtherPAINDEPENDENCE BLUE CROSS
147753OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CO, DE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100928000306 PA Practitioner - Hematology/Oncology 6507982592 Reassigns benefits to 2 organizations
I20221206001414 CO Practitioner - Medical Oncology 6507982592 Reassigns benefits to 1 organization
I20250721003520 DE Practitioner - Medical Oncology 6507982592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

2121 E Harmony Rd
Unit 170 Uchmg Cancer Care and Hem FC
Fort Collins, CO 80528-3413
Phone (970) 493-6337

4701 Ogletown Stanton Rd
Newark, DE 19713-2055
Phone (302) 623-3605

4701 Ogletown Stanton Rd
Suite 2100
Newark, DE 19713-7000
Phone (302) 623-4960

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045335LPAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Jul 11, 2022 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 9, 2025 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 11, 2022 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 14, 2023 Accepting new patients
Integrated Palliative Care, PC CurrentSince Jun 22, 2021 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Nov 28, 2022 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Nov 28, 2022 Accepting new patients
Christiana Care Health Services Inc Medical Oncology CurrentSince Jul 9, 2025 Accepting new patients
Einstein Practice Plan, Inc Medical Oncology CurrentSince Jul 14, 2023 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2121 E Harmony Rd
Unit 170
Fort Collins, CO 80528
Phone (970) 493-6337

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

2500 Rocky Mountain Ave
Ste 2100UCHMG
Loveland, CO 80538
Phone (970) 203-7000

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

2500 Rocky Mountain Ave
Ste 2100
Loveland, CO 80538
Phone (970) 203-7153

4701 Ogletown Stanton Rd
Ste 2200
Newark, DE 19713
Phone (302) 366-1200

4701 Ogletown Stanton Rd
Ste 2300
Newark, DE 19713
Phone (302) 731-7782

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

30 Lawrence Rd
Ste 201
Broomall, PA 19008
Phone (610) 492-5900

609 W Germantown Pike
Ste 280
East Norriton, PA 19403
Phone (484) 622-7440

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

9880 Bustleton Ave
Ste 208
Philadelphia, PA 19115
Phone (215) 667-0667

5501 Old York Rd
Bldg 2ND
Philadelphia, PA 19141
Phone (215) 456-3880

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: mmikhail179726@direct-guthrie.org

Organizations & group practices 12

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1043384035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SHANDON PL",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553176",
            "telephone_number": "610-314-3657",
            "fax_number": "610-578-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SHANDON PL",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553176",
            "telephone_number": "610-314-3657",
            "fax_number": "610-578-0521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 E Harmony Rd Unit 170",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805283413",
            "country_code": "US",
            "telephone_number": "970-493-6337",
            "fax_number": "970-493-3528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4701 OGLETOWN STANTON ROAD",
            "address_2": "SUITE 2300",
            "address_purpose": "LOCATION",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055",
            "country_code": "US",
            "telephone_number": "302-731-7782",
            "fax_number": "302-738-5917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKHAIL",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CO",
            "license": "DR.0069833",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "DE",
            "license": "C1-0028437",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "MD045335L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015550830002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0276947000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "147753",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.