Individual provider Active NPI

Michael Anthony Carnevale, D.O.

  • Addiction Medicine (Internal Medicine) Physician
  • Eugene, OR
National Provider Identifier
1164425534
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
DO153418 Issued in OR
Practice address
1200 Hilyard St Ste 450
Eugene, OR 97401-8164
Phone
(458) 205-7131
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO153418 OR
Addiction Medicine (Internal Medicine) Physician 207RA0401X DO153418 OR Primary

Addresses

Primary practice location

1200 Hilyard St Ste 450
Eugene, OR 97401-8164

Mailing address

PO Box 24410
Eugene, OR 97402-0451

Other practice location 1

1200 Hilyard St Ste 510
Eugene, OR 97401-8150
Phone (458) 205-7131

Other practice location 2

1 Serenity Ln
Coburg, OR 97408-9350
Phone (541) 284-5704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20110809000446 OR Practitioner - Addiction MedicinePractitioner - Internal Medicine 6406740646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

1200 Hilyard St
Eugene, OR 97401-8122
Phone (458) 205-6011

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Lane CurrentSince Aug 18, 2024 Accepting new patients
Peacehealth Medical Group Internal Medicine CurrentSince Sep 1, 2011 Accepting new patients
Lane County Oregon CurrentSince Feb 18, 2021 Accepting new patients
Mendocino Community Health Clinic, Inc. PastSince Jun 3, 2003 Accepting new patients
Serenity Lane PastSince Aug 11, 2024 Accepting new patients
County of Mendocino Past Accepting new patients
Pacific Redwood Medical Services Internal Medicine Past Accepting new patients
NPI 1588730642 Past Accepting new patients

Locations

1 Serenity Ln
Eugene, OR 97408
Phone (541) 284-5704

1200 Hilyard St
Ste S510
Eugene, OR 97401
Phone (458) 205-6074

1200 Hilyard St
Eugene, OR 97401
Phone (458) 205-7070

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

1200 Hilyard St
Ste S450
Eugene, OR 97401
Phone (458) 205-7131

1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-3551

1200 Hilyard St
Ste 520A
Eugene, OR 97401
Phone (541) 687-6041

2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530

Interoperability endpoints

  • Direct secure messaging: mcarnevale2925@direct.peacehealth.org

Organizations & group practices 7

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1164425534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24410",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974020451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HILYARD ST STE 450",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018164",
            "telephone_number": "458-205-7131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Hilyard St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974018150",
            "country_code": "US",
            "telephone_number": "458-205-7131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Serenity Ln",
            "address_purpose": "LOCATION",
            "city": "Coburg",
            "state": "OR",
            "postal_code": "974089350",
            "country_code": "US",
            "telephone_number": "541-284-5704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNEVALE",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO153418",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OR",
            "license": "DO153418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.