NPIMap

Individual provider Active NPI

Michael James Oneill, MD

  • Family Medicine Physician
  • Monument, CO
National Provider Identifier
1215943808
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50683 Issued in CO
Practice address
240 Beacon Lite Rd
Monument, CO 80132-9106
Phone
(719) 419-7490
Fax
(719) 309-6847
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 50683 CO Primary

Addresses

Primary practice location

240 Beacon Lite Rd
Monument, CO 80132-9106

Mailing address

240 Beacon Lite Rd
Monument, CO 80132-9106
Phone (719) 419-7490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131030001545 CO Practitioner - Family Practice 2860390226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

240 Beacon Lite Rd
Monument, CO 80132-9106
Phone (719) 419-7490

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50683COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Oneill MD PLLC Family Medicine CurrentSince Jan 11, 2016 Accepting new patients

Locations

1465 Kelly Johnson Blvd
Ste 310
Colorado Springs, CO 80920
Phone (719) 726-6573

240 Beacon Lite Rd
Monument, CO 80132
Phone (719) 419-7490

Interoperability endpoints

  • Direct secure messaging: michael.oneill@corhio.medicity.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1215943808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 BEACON LITE RD",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329106",
            "telephone_number": "719-419-7490",
            "fax_number": "719-309-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 BEACON LITE RD",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329106",
            "telephone_number": "719-419-7490",
            "fax_number": "719-309-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEILL",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "50683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

Verify at the official NPI Registry.