Individual provider Active NPI

Michael Lavaughn Finch, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1104991991
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K2690 Issued in TX
Practice address
3430 W Wheatland Rd
Ste 421
Dallas, TX 75237-3406
Phone
(214) 242-9890
Fax
(214) 242-9905
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K2690 TX Primary

Addresses

Primary practice location

3430 W Wheatland Rd
Ste 421
Dallas, TX 75237-3406

Mailing address

3332 Ricci LN
Irving, TX 75062-6575
Phone (214) 868-3209

Other identifiers 2

IdentifierTypeStateIssuer
82480SOtherTXBCBS
103404302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090407000499 TX Practitioner - Internal Medicine 7517014640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3332 Ricci LN
Irving, TX 75062-6575

3430 W Wheatland Rd
Suite 421
Dallas, TX 75237-3406
Phone (214) 242-9890

Hospital & facility affiliations

  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Internal Medicine PLLC Internal Medicine CurrentSince Feb 15, 2012 Accepting new patients

Locations

3430 W Wheatland Rd
Ste 421
Dallas, TX 75237
Phone (214) 242-9890

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEBACD/Endpoint/BEBACD

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Methodist Dallas Medical CenterDallas, TX, CCN 450051 Hospital Corporate Director Mar 24, 2020
Methodist Charlton Medical CenterDallas, TX, CCN 450723 Hospital Corporate Director Mar 24, 2020
Methodist Mansfield Medical CenterMansfield, TX, CCN 670023 Hospital Corporate Director Mar 24, 2020
Methodist Richardson Medical CenterRichardson, TX, CCN 450537 Hospital Corporate Director Mar 24, 2020
Methodist Richardson Medical CenterRichardson, TX, CCN 45S537 Hospital Corporate Director Jan 3, 2022
Methodist Midlothian Medical CenterMidlothian, TX, CCN 670300 Hospital Corporate Director Mar 24, 2020
Methodist Southlake Medical CenterSouthlake, TX, CCN 670132 Hospital Corporate Director Jun 1, 2021
Methodist Celina Medical CenterCelina, TX, CCN 670340 Hospital Corporate Director Mar 24, 2020

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1104991991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 RICCI LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626575",
            "telephone_number": "214-868-3209",
            "fax_number": "972-351-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 W WHEATLAND RD",
            "address_2": "STE 421",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373406",
            "telephone_number": "214-242-9890",
            "fax_number": "214-242-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINCH",
        "first_name": "MICHAEL",
        "middle_name": "LAVAUGHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82480S",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103404302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.