NPIMap

Individual provider Active NPI

Michael D. Steely, PA

  • Physician Assistant
  • Portsmouth, OH
National Provider Identifier
1053496380
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50001010 Issued in OH
Practice address
1248 Kinneys LN
Portsmouth, OH 45662-2927
Phone
(740) 356-5000
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50001010 OH Primary

Addresses

Primary practice location

1248 Kinneys LN
Portsmouth, OH 45662-2927

Mailing address

2000 Green Rd
Suite 300
Ann Arbor, MI 48105-1598
Phone (734) 995-3764

Other practice location 1

601 State Route 664 N
Logan, OH 43138-8541
Phone (740) 380-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061121000353 OH Practitioner - Physician Assistant 8729086020 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

7300 Beechmont Ave
Cincinnati, OH 45230-4119
Phone (513) 232-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50001010OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Highland District Hospital CurrentSince Jul 5, 2018 Accepting new patients
Pike County Emergency Physicians Inc Past Accepting new patients
Ross Emergency Group PC, Inc Physician Assistant Past Accepting new patients
Highland District Hospital Professional Services Corporation Past Accepting new patients
Fairfield Hospitalists Inc Past Accepting new patients
Greenville Emergency Physicians, Inc. Past Accepting new patients
Highland Emergency Physicians, Inc. Past Accepting new patients
Circleville Emergency Physicians Inc. Past Accepting new patients
Middletown Emergency Physicians, Inc. Past Accepting new patients

Locations

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

Interoperability endpoints

  • FHIR API: https://epicscripts.trihealth.com/fhirproxy/api/FHIR/R4/
  • Direct secure messaging: msteely259343@direct.trihealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1053496380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GREEN RD",
            "address_2": "SUITE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051598",
            "telephone_number": "734-995-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 KINNEYS LN",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622927",
            "telephone_number": "740-356-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 State Route 664 N",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "OH",
            "postal_code": "431388541",
            "country_code": "US",
            "telephone_number": "740-380-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEELY",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.