NPIMap

Individual provider Active NPI

Michael Vincent Michalak, P.A.

  • Physician Assistant
  • Saginaw, MI
National Provider Identifier
1073550182
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601002176 Issued in MI
Practice address
1015 S Washington Ave
Saginaw, MI 48601-2556
Phone
(989) 754-3000
Fax
(989) 755-1365
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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 5601002176 MI Primary

Addresses

Primary practice location

1015 S Washington Ave
Saginaw, MI 48601-2556

Mailing address

PO Box 779
Tawas City, MI 48764-0779
Phone (989) 754-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.michalak.1@11016.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20061005000383 MI Practitioner - Physician Assistant 6305842899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians

Practice addresses (Care Compare)

1117 S Van Dyke Rd
Suite 300
Bad Axe, MI 48413-8467
Phone (989) 754-3000

800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8000

Hospital & facility affiliations

  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw CurrentSince Dec 17, 2011 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Dec 17, 2011 Accepting new patients
Covenant Medical Center, Inc Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

Interoperability endpoints

  • Direct secure messaging: michael.michalak.1@11016.direct.athenahealth.com

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 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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1073550182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640779",
            "telephone_number": "989-754-3000",
            "fax_number": "989-755-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012556",
            "telephone_number": "989-754-3000",
            "fax_number": "989-755-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALAK",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.michalak.1@11016.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1015 S Washington Ave",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486012556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.