Individual provider Active NPI

Michael Howard Clary, DO

  • Family Medicine Physician
  • Blacksburg, VA
National Provider Identifier
1053374264
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102037039 Issued in VA
Practice address
3700 S Main St
Suite a
Blacksburg, VA 24060-7017
Phone
(540) 443-7187
Fax
(540) 443-7182
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102037039 VA Primary

Addresses

Primary practice location

3700 S Main St
Suite a
Blacksburg, VA 24060-7017

Mailing address

3700 S Main St
Suite a
Blacksburg, VA 24060-7017
Phone (540) 443-7187

Other practice location 1

5610 Williamson Rd
Roanoke, VA 24012-1442
Phone (540) 265-8924

Other identifiers 13

IdentifierTypeStateIssuer
10031748OtherVAOPTIMA/SENTARA
296203OtherVAMAMSI PROVIDER NUMBER
830370OtherVAUNITED HEALTHCARE
005881153MedicaidVA
4283942OtherVACIGNA PROVIDER NUMBER
P00805146OtherVAMEDICARE RR
4652869OtherVAAETNA
TN0101OtherVAJOHN DEERE PROVIDER
4652869OtherVAAETNA PROVIDER NUMBER
4283942OtherVACIGNA
1003599OtherWVBRICKSTREET-WV COMP
158189OtherVASOUTHERN HEALTH PROVIDER
238819OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070319000094 VA Practitioner - General PracticePractitioner - Family Practice 1355444027 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis Gale Physicians LLCGroup PAC ID 6507886231, 191 clinicians

Practice addresses (Care Compare)

3700 S Main St
1A
Blacksburg, VA 24060-7017
Phone (540) 443-7180

Merit-based Incentive Payment System (MIPS)

Final score
82.67 of 100Reported as group
Quality
66.8
Promoting interoperability
100
Improvement activities
40
Cost
75.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Apr 3, 2014 Accepting new patients
Bon Secours Urgent Care LLC CurrentSince Mar 9, 2025 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine Current Accepting new patients
Lewis Gale Physicians LLC CurrentSince Sep 3, 2024 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Apr 3, 2014 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3700 S Main St
Ste A
Blacksburg, VA 24060
Phone (540) 443-7180

3700 S Main St
#1A
Blacksburg, VA 24060
Phone (540) 443-7180

6 Hickok St
Christiansburg, VA 24073
Phone (540) 382-6148

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

5610 Williamson Rd
Roanoke, VA 24012
Phone (540) 265-8924

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

Interoperability endpoints

  • Direct secure messaging: michael.clary@hca6.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1053374264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST",
            "address_2": "SUITE A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "540-443-7187",
            "fax_number": "540-443-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST",
            "address_2": "SUITE A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "540-443-7187",
            "fax_number": "540-443-7182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5610 Williamson Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240121442",
            "country_code": "US",
            "telephone_number": "540-265-8924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARY",
        "first_name": "MICHAEL",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102037039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA/SENTARA",
            "identifier": "10031748",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROVIDER NUMBER",
            "identifier": "296203",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "830370",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005881153",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "4283942",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00805146",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4652869",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE PROVIDER",
            "identifier": "TN0101",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4652869",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4283942",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET-WV COMP",
            "identifier": "1003599",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH PROVIDER",
            "identifier": "158189",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "238819",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.