Active NPI
Michael G Rayel, M.D.
- Psychiatry Physician
- Minot, ND
National Provider Identifier
1073571022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 16458
- Practice address
- 407 3Rd St SE
Minot, ND 58701-4470 - Phone
- (701) 857-2360
- NPI assigned
- May 1, 2006
- Last updated
- Sep 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 16458 | ND | Primary |
| Psychiatry Physician | 2084P0800X | PT16458 | ND | |
| Psychiatry Physician | 2084P0800X | 154425 | MA | |
| Psychiatry Physician | 2084P0800X | 34729 | CT |
Addresses
Primary practice location
407 3Rd St SE
Minot, ND 58701-4470
Mailing address
PO Box 5010
Minot, ND 58702-5010
Phone (701) 857-5118
Other practice location 1
71 Haynes St
Manchester, CT 06040-4131
Phone (860) 533-3494
Other practice location 2
71 Haynes St
Manchester, CT 06040-4131
Phone (860) 533-3494
Other practice location 3
71 Haynes St
Manchester, CT 06040
Phone (860) 533-3494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34729 | CT | MD | Psychiatry Physician |
| 154425 | MA | MD | Psychiatry Physician |
| PT16458 | ND | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Past | Accepting new patients |
Interoperability endpoints
- mrayel31048@direct.med.uchc.edu
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1073571022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5010",
"city": "MINOT",
"state": "ND",
"postal_code": "587025010",
"telephone_number": "701-857-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 3RD ST SE",
"city": "MINOT",
"state": "ND",
"postal_code": "587014470",
"telephone_number": "701-857-2360"
}
],
"practiceLocations": [
{
"address_1": "71 Haynes St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "CT",
"postal_code": "060404131",
"country_code": "US",
"telephone_number": "860-533-3494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "71 Haynes St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "CT",
"postal_code": "060404131",
"country_code": "US",
"telephone_number": "860-533-3494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "71 Haynes St",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "CT",
"postal_code": "06040",
"country_code": "US",
"telephone_number": "860-533-3494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAYEL",
"first_name": "MICHAEL",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ND",
"license": "16458",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ND",
"license": "PT16458",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "154425",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "34729",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.