Active NPI
Michael Nicholas Feliciano, MD
- Anatomic Pathology & Clinical Pathology Physician
- Rowlett, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- K2901
- Practice address
- 7501 Lakeview Pkwy
Ste 160
Rowlett, TX 75088-9322 - Phone
- (972) 526-0340
- Fax
- (972) 996-1857
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | K2901 | TX | Primary |
Addresses
Primary practice location
7501 Lakeview Pkwy
Ste 160
Rowlett, TX 75088-9322
Mailing address
PO Box 226
Rowlett, TX 75030-0226
Phone (972) 526-0340
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8DF228 | Other | TX | BLUE CRISS BLUE SHIELD |
| P01076174 | Other | TX | RAILROAD MEDICARE |
| 089970007 | Medicaid | TX | |
| 8DF229 | Other | TX | BLUE CROSS BLUE SHIELD |
| 089970006 | Medicaid | TX | |
| P01076168 | Other | TX | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Texas Medical School at Houston, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3150 Horizon Rd
Rockwall, TX 75032-7805
Phone (469) 698-1150
4920 NE Stallings Dr
Nacogdoches Medical Center Hospital
Nacogdoches, TX 75965-1254
Phone (972) 526-0320
6800 Scenic Dr
Rowlett, TX 75088-4552
Phone (972) 526-0300
7501 Lakeview Pkwy
Suite 150
Rowlett, TX 75088-9322
7501 Lakeview Pkwy
Suite 160
Rowlett, TX 75088-9327
Phone (972) 526-0320
Hospital & facility affiliations
- Texas Health Presbyterian Hospital Rockwall
- Texas Health Presbyterian Hospital Dallas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K2901 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Pathology Assoc., PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| North Texas Pathology Services PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| North Texas Pathology Laboratories LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Red River Valley Pathology, PA | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321
4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441
3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000
7501 Lakeview Pkwy
Ste 160
Rowlett, TX 75088
Phone (972) 463-7417
6800 Scenic Dr
Rowlett, TX 75088
Phone (972) 412-2273
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Rockwall, TX
- NPI 1992766356
-
- Anatomic Pathology & Clinical Pathology Physician
- Rowlett, TX
- NPI 1093984122
-
- Anatomic Pathology & Clinical Pathology Physician
- Rowlett, TX
- NPI 1649479213
-
- Anatomic Pathology & Clinical Pathology Physician
- Paris, TX
- NPI 1831135383
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Orthopaedic Surgery of the Spine Physician
- Plano, TX
- NPI 1184663163
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Richardson, TX
- NPI 1114035383
Hospital
-
- General Acute Care Hospital
- Rockwall, TX
- NPI 1629138029
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1396779948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1205992138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 226",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750300226",
"telephone_number": "972-526-0340",
"fax_number": "972-996-1857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 LAKEVIEW PKWY",
"address_2": "STE 160",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750889322",
"telephone_number": "972-526-0340",
"fax_number": "972-996-1857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICIANO",
"first_name": "MICHAEL",
"middle_name": "NICHOLAS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "K2901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CRISS BLUE SHIELD",
"identifier": "8DF228",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01076174",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089970007",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8DF229",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089970006",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01076168",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.