Individual provider Active NPI

Michael Nicholas Feliciano, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Rowlett, TX
National Provider Identifier
1205992138
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
K2901 Issued in TX
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

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8DF228OtherTXBLUE CRISS BLUE SHIELD
P01076174OtherTXRAILROAD MEDICARE
089970007MedicaidTX
8DF229OtherTXBLUE CROSS BLUE SHIELD
089970006MedicaidTX
P01076168OtherTXRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050126000777 TX Practitioner - Pathology 0042260127 Reassigns benefits to 2 organizations

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
North Texas Pathology Assoc., PAGroup PAC ID 1557375649, 5 clinicians
North Texas Pathology Services PAGroup PAC ID 0244302057, 5 clinicians

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 Hospital, Rockwall, TX, CCN 670044
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K2901TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Pathology Assoc., PA Anatomic Pathology & Clinical Pathology CurrentSince Apr 9, 2012 Accepting new patients
North Texas Pathology Services PA Anatomic Pathology & Clinical Pathology CurrentSince Apr 9, 2012 Accepting new patients
North Texas Pathology Laboratories LLC Anatomic Pathology & Clinical Pathology CurrentSince Dec 21, 2025 Accepting new patients
Red River Valley Pathology, PA Anatomic Pathology & Clinical Pathology PastSince Oct 1, 2004 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.

Hospital & facility affiliations 11

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": "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

Verify at the official NPI Registry.