Individual provider Active NPI

Robert L Michaels, MD

  • Orthopaedic Surgery Physician
  • West Babylon, NY
National Provider Identifier
1124012414
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
207081 Issued in NY
Practice address
986 Sunrise Hwy
West Babylon, NY 11704-6111
Phone
(631) 587-6060
Fax
(631) 587-1364
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 207081 NY Primary

Addresses

Primary practice location

986 Sunrise Hwy
West Babylon, NY 11704-6111

Mailing address

990 Stewart Ave
Suite 400
Garden City, NY 11530-4822
Phone (516) 222-2022

Other practice location 1

137 Willis Ave
Mineola, NY 11501-2658
Phone (516) 741-8822

Other identifiers 2

IdentifierTypeStateIssuer
200030578OtherNYRAILROAD MEDICARE
01775617MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmichaels110120@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050421001358 NY Practitioner - Orthopedic Surgery 1557309374 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207081NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Rehabilitation & Diagnostics Past Accepting new patients
Westbury Medical Care, P.C. Past Accepting new patients
Neurological Services of Queens, P.C. Past Accepting new patients
Post Chiropractic P.C. Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1124012414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE",
            "address_2": "SUITE 400",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304822",
            "telephone_number": "516-222-2022",
            "fax_number": "516-222-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 SUNRISE HWY",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046111",
            "telephone_number": "631-587-6060",
            "fax_number": "631-587-1364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Willis Ave",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115012658",
            "country_code": "US",
            "telephone_number": "516-741-8822",
            "fax_number": "516-741-9351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "207081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200030578",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01775617",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmichaels110120@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "137 Willis Ave",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115012658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

Verify at the official NPI Registry.