Active NPI
Michael Edward Reopelle, MD
- Surgery Physician
- Port Angeles, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ML60561607
- Practice address
- 939 Caroline St
Port Angeles, WA 98362-3909 - Phone
- (360) 417-7000
- NPI assigned
- Apr 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ML60561607 | WA | Primary |
Addresses
Primary practice location
939 Caroline St
Port Angeles, WA 98362-3909
Mailing address
939 Caroline St
Port Angeles, WA 98362-3909
Phone (360) 417-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200811002743 | WA | Practitioner - General Surgery | 0244550358 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Sanford School of Medicine of University of South Dakota, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peacehealth
Practice addresses (Care Compare)
2980 Squalicum Pkwy
Suite 301
Bellingham, WA 98225-1880
Phone (360) 788-6112
Hospital & facility affiliations
- Peacehealth St Joseph Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 13 |
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 20 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Medical Group - Sedro Woolley | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Past | Accepting new patients |
Locations
3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092
3015 Squalicum Pkwy
Ste 280
Bellingham, WA 98225
Phone (360) 671-2425
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186
2980 Squalicum Pkwy
Ste 302
Bellingham, WA 98225
Phone (360) 788-8200
2980 Squalicum Pkwy
Ste 301
Bellingham, WA 98225
Phone (360) 671-4944
835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641
1990 Hospital Dr
Ste 100
Sedro Woolley, WA 98284
Phone (360) 856-4141
Interoperability endpoints
- mreopelle560944@direct.peacehealth.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Sedro Woolley, WA
- NPI 1407283179
WA
-
- Ambulatory Surgical Clinic/Center
- Bellingham, WA
- NPI 1396990701
-
- Community Based Hospice Care Agency
- Bellingham, WA
- NPI 1447217559
-
- General Acute Care Hospital
- Bellingham, WA
- NPI 1689677320
-
- Rural Acute Care Hospital
- Bellingham, WA
- NPI 1487904546
Hospital & facility affiliations 3
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": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1194102376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "939 CAROLINE ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623909",
"telephone_number": "360-417-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 CAROLINE ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623909",
"telephone_number": "360-417-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REOPELLE",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-27",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "ML60561607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.