Individual provider Active NPI

Michael J McAuliffe, MD

  • Emergency Medicine Physician
  • Winchester, VA
National Provider Identifier
1104886324
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101228995 Issued in VA
Practice address
1840 Amherst St
Winchester, VA 22601-2808
Phone
(540) 536-8000
Fax
(540) 536-7681
NPI assigned
Mar 23, 2006
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101228995 VA Primary

Addresses

Primary practice location

1840 Amherst St
Winchester, VA 22601-2808

Mailing address

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

Other identifiers 2

IdentifierTypeStateIssuer
5806071MedicaidVA
1805903000MedicaidWV

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address mmcauliffe124248@soc.inova.org
Direct Messaging Address mmcauliffe124248@soc.inova.org
Direct Messaging Address mmcauliffe124248@soc.inova.org
Direct Messaging Address mmcauliffe124248@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 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
I20100513000430 VA Practitioner - Emergency Medicine 7719015668 Reassigns benefits to 2 organizations
I20190522001267 WV Practitioner - Emergency Medicine 7719015668 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Hospital IncGroup PAC ID 3375444524, 155 clinicians

Practice addresses (Care Compare)

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 260-1443

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101228995VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Sep 15, 2000 Accepting new patients
City Hospital, Inc. Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince Apr 4, 2019 Accepting new patients
Winchester Medical Center, Inc. CurrentSince Sep 15, 2000 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
War Memorial Hospital, Inc. CurrentSince Apr 4, 2019 Accepting new patients
Winchester Medical Center Inc. CurrentSince Jan 28, 2013 Accepting new patients
Winchester Medical Center Current Accepting new patients
War Memorial Hospital Inc CurrentSince Apr 4, 2019 Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince Apr 4, 2019 Accepting new patients
City Hospital Inc Current Accepting new patients
City Hospital, Inc Past Accepting new patients
Hendrick Medical Center Past Accepting new patients

Locations

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1840 Amherst St
Fl 2
Winchester, VA 22601

220 Campus Blvd
Ste 100
Winchester, VA 22601

1 Healthy Way
Berkeley Springs, WV 25411
Phone (304) 258-1234

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

329 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4932

363 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4561

Interoperability endpoints

  • Direct secure messaging: mmcauliffe124248@valleyhealth.direct-ci.com
  • Direct secure messaging: mmcauliffe427864@direct.wvuhsdirect.com

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1104886324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012808",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012808",
            "telephone_number": "540-536-8000",
            "fax_number": "540-536-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAULIFFE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101228995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5806071",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1805903000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmcauliffe124248@soc.inova.org",
            "affiliation": "N",
            "address_1": "363 Sunrise Blvd",
            "city": "Romney",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267574607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmcauliffe124248@soc.inova.org",
            "affiliation": "N",
            "address_1": "1 Healthy Way",
            "city": "Berkeley Springs",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254117463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmcauliffe124248@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St Fl 2",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmcauliffe124248@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.