Individual provider Active NPI

Robert Jerome Michaud

  • Emergency Medicine Physician
  • Tamuning, GU
National Provider Identifier
1063615797
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M-1232 Issued in GU
Practice address
1270 N Marine Dr Ste 101
PMB 537
Tamuning, GU 96913-4331
Phone
(619) 512-3406
NPI assigned
Jun 8, 2007
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M-1232 GU Primary
Emergency Medicine Physician 207P00000X P7512 TX

Addresses

Primary practice location

1270 N Marine Dr Ste 101
PMB 537
Tamuning, GU 96913-4331

Mailing address

1270 N Marine Dr Ste 101
PMB 537
Tamuning, GU 96913-4331
Phone (619) 512-3406

Other names 1

  • Robert Jerome Michaud Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MP2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20131212001288 TX Practitioner - Emergency Medicine 9234125626 Reassigns benefits to 8 organizations
I20240226002935 MP Practitioner - Family Practice 9234125626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Lower Navy Hill Rd
Saipan, MP 96950
Phone (670) 234-8950

1 Lower Navy Hill Rd
Saipan, MP 96950-0409

PO Box
Saipan, MP 96950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C54892CAMDEmergency Medicine Physician
M-1232GUMDEmergency Medicine Physician
50684CAMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Healthcare Corporation CurrentSince Dec 27, 2023 Accepting new patients
Guadalupe Emergency Medicine Associates, PA Emergency Medicine CurrentSince Dec 21, 2018 Accepting new patients
Canyon Springs Emergency Medicine Associates, PA Emergency Medicine CurrentSince Nov 17, 2019 Accepting new patients
Port Arthur Emergency Physicians Emergency Medicine CurrentSince Aug 16, 2014 Accepting new patients
Shavano Emergency Medicine Associates, PA Emergency Medicine CurrentSince Nov 16, 2019 Accepting new patients
Commonwealth Healthcare Corporation Current Accepting new patients
McAllen Emergency Medicine Associates PA Emergency Medicine CurrentSince Nov 16, 2019 Accepting new patients
Municipal Emergency Medicine Associates, PA Emergency Medicine CurrentSince Nov 16, 2019 Accepting new patients
Oak Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Nov 16, 2019 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Dec 27, 2023 Accepting new patients
Edinburg Emergency Medicine Associates PA Emergency Medicine CurrentSince Nov 17, 2019 Accepting new patients
RFC Radiology Associates LLC Past Accepting new patients
Churchill Mangat Emergency Group PC Emergency Medicine Past Accepting new patients

Locations

140 Frontage Rd
Alamo, TX 78516
Phone (956) 403-5100

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

3615 N Interstate 69C
Edinburg, TX 78542
Phone (956) 259-2100

4702 S McColl Rd
Edinburg, TX 78539
Phone (956) 213-2600

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

3700 W Nolana Ave
McAllen, TX 78504
Phone (956) 213-2700

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 1

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1063615797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 N MARINE DR STE 101",
            "address_2": "PMB 537",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134331",
            "telephone_number": "619-512-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 N MARINE DR STE 101",
            "address_2": "PMB 537",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134331",
            "telephone_number": "619-512-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "ROBERT",
        "middle_name": "JEROME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GU",
            "license": "M-1232",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P7512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "MICHAUD",
            "middle_name": "JEROME",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.