Individual provider Active NPI

Michael J Harwood

  • Dermatology Physician
  • Westerly, RI
National Provider Identifier
1083839138
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD12887 Issued in RI
Practice address
41 East Ave
Westerly, RI 02891-3113
Phone
(401) 596-7736
Fax
(401) 596-6368
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 50241 CT
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X MD12887 RI Primary

Addresses

Primary practice location

41 East Ave
Westerly, RI 02891-3113

Mailing address

35 Wells St
Unit 1
Westerly, RI 02891-2962
Phone (401) 596-7736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 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
I20090808000100 RI Practitioner - Dermatology 2163575119 Reassigns benefits to 1 organization
I20120223000018 CT Practitioner - Dermatology 2163575119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Warren Alpert Medical School of Brown University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

112 Lafayette St
Suite 2
Norwich, CT 06360-2737
Phone (860) 886-8545

35 Wells St
Lowr Level
Westerly, RI 02891-2948
Phone (401) 348-3865

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision42
Removal of skin lesions1092
Removal or shaving of skin growth14
Skin biopsy444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50241CTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Multi-Specialty CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

200 Sandy Hollow Rd
Mystic, CT 06355
Phone (860) 536-4916

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

112 Lafayette St
Ste 2
Norwich, CT 06360
Phone (860) 886-8545

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

35 Wells St
Lowr
Westerly, RI 02891
Phone (401) 348-3865

35 Wells St
Unit 1
Westerly, RI 02891
Phone (401) 596-0550

45 Wells St
Ste 102
Westerly, RI 02891
Phone (401) 596-4499

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

45 Wells St
Ste 201
Westerly, RI 02891
Phone (401) 637-7200

Interoperability endpoints

  • Direct secure messaging: michael.harwood@xdr.hhchealthdirect.org

Organizations & group practices 3

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.

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1083839138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WELLS ST",
            "address_2": "UNIT 1",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912962",
            "telephone_number": "401-596-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 EAST AVE",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028913113",
            "telephone_number": "401-596-7736",
            "fax_number": "401-596-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWOOD",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CT",
            "license": "50241",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD12887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.