Individual provider Active NPI

Michael W Cieslinski, M.D.

  • Emergency Medicine Physician
  • Petersburg, VA
National Provider Identifier
1093135196
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101261661 Issued in VA
Practice address
200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone
(804) 765-5000
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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 2016-01283 NC
Emergency Medicine Physician 207P00000X 0101261661 VA Primary

Addresses

Primary practice location

200 Medical Park Blvd
Petersburg, VA 23805-9274

Mailing address

212 Watermans Dr
Gasburg, VA 23857-2205
Phone (804) 754-6227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20161028001620 NC Practitioner - Emergency Medicine 0446549992 Reassigns benefits to 2 organizations
I20170404000345 VA Practitioner - Emergency Medicine 0446549992 Reassigns benefits to 4 organizations
I20250618000408 DC Practitioner - Emergency Medicine 0446549992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexandria Springfield Emergency Physicians PCGroup PAC ID 1052558954, 38 clinicians

Practice addresses (Care Compare)

200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone (240) 686-2300

Hospital & facility affiliations

  • Bon Secours Southampton Memorial Hospital Hospital, Franklin, VA, CCN 490092
  • Bon Secours Southern Virginia Medical Center Hospital, Emporia, VA, CCN 490097

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.52 of 100Reported as group
Quality
91.6
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016-01283NCMDEmergency Medicine Physician
0101261661VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Feb 1, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 15, 2019 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Mar 15, 2019 Accepting new patients
Vidant Medical Group LLC CurrentSince Jun 8, 2021 Accepting new patients
CMH Physician Services, LLC Emergency Medicine Current Accepting new patients
Dispatchhealth, PC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
CMH Physician Services, LLC CurrentSince Jul 1, 2018 Accepting new patients
True North Health Navigation LLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
True North Health Navigation LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
True North Health Navigation LLC Emergency Medicine Past Accepting new patients
Dispatchhealth NV Wagner PC Emergency Medicine Past Accepting new patients

Locations

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

4220 Apex Hwy
Ste 160
Durham, NC 27713
Phone (919) 897-8784

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

628 E 12th St
Washington, NC 27889
Phone (252) 975-4100

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

727 N Main St
Emporia, VA 23847
Phone (434) 348-4400

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8000 Westpark Dr
Ste 130
Mc Lean, VA 22102
Phone (702) 848-4443

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

1755 N Mecklenburg Ave
South Hill, VA 23950
Phone (434) 584-5412

1951 Kidwell Dr
Ste 101
Vienna, VA 22182
Phone (571) 348-4721

Interoperability endpoints

  • Direct secure messaging: michael.cieslinski.1@13869.direct.athenahealth.com

Organizations & group practices 14

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 14

Hospital & facility affiliations 2

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1093135196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 WATERMANS DR",
            "city": "GASBURG",
            "state": "VA",
            "postal_code": "238572205",
            "telephone_number": "804-754-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK BLVD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059274",
            "telephone_number": "804-765-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESLINSKI",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2016-01283",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101261661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.