Individual provider Active NPI

Christopher Alki Michaeles, M.D.

  • Cardiovascular Disease Physician
  • Olean, NY
National Provider Identifier
1225060684
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
219320 Issued in NY
Practice address
2223 W State St Ste 120
Olean, NY 14760-1938
Phone
(716) 710-8266
NPI assigned
Jul 7, 2006
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2193201 NY
Cardiovascular Disease Physician 207RC0000X 219320 NY Primary
Interventional Cardiology Physician 207RI0011X MD60341312 WA
Interventional Cardiology Physician 207RI0011X 219320 NY

Addresses

Primary practice location

2223 W State St Ste 120
Olean, NY 14760-1938

Mailing address

908 Niagara Falls Blvd Ste 208
North Tonawanda, NY 14120-2019
Phone (716) 799-1446

Other practice location 1

462 Grider St
Buffalo, NY 14215-3098
Phone (716) 898-3333

Other identifiers 4

IdentifierTypeStateIssuer
2112503OtherNYIHA
02533668MedicaidNY
000527618001OtherNYBLUE CROSS/BLUE SHIELD
00026839401OtherNYUNIVERA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmichaeles@denaliheart.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AK, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040510000271 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 0244229839 Reassigns benefits to 4 organizations
I20150518001365 AK Practitioner - Cardiovascular Disease (Cardiology) 0244229839 Reassigns benefits to 1 organization
I20190806003984 ID Practitioner - Interventional Cardiology 0244229839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians
Kaleida HealthGroup PAC ID 7810805280, 214 clinicians

Practice addresses (Care Compare)

2223 W State St
Suite 120
Olean, NY 14760-1938
Phone (716) 373-3544

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

515 Main St
Olean, NY 14760-1513
Phone (716) 373-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2193201NYMDCardiovascular Disease Physician
219320NYMDInterventional Cardiology Physician
MD60341312WAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aer Medical LLC Cardiovascular Disease CurrentSince Jun 16, 2019 Accepting new patients
General Physician, PC CurrentSince Nov 30, 2020 Accepting new patients
Pocatello Health Services, LLC CurrentSince Dec 1, 2019 Accepting new patients
Pocatello Health Services, LLC CurrentSince Dec 1, 2019 Accepting new patients
University at Buffalo Pathologists, Inc Current Accepting new patients
Quality Medical Imaging of Arizona, Inc CurrentSince Oct 20, 2020 Accepting new patients
Family Medical Diagnostics Inc CurrentSince Mar 1, 2021 Accepting new patients
Kaleida Health CurrentSince Jan 12, 2021 Accepting new patients
Erie County Medical Center Corporation CurrentSince Feb 2, 2021 Accepting new patients
Kaleida Health Current Accepting new patients
Saint Alphonsus Medical Center Nampa, Inc. CurrentSince Aug 31, 2019 Accepting new patients
Pocatello Health Services, LLC Current Accepting new patients
Erie County Medical Center Corporation CurrentSince Feb 2, 2021 Accepting new patients
Vesta Telemedicine Solutions, PLLC Cardiovascular Disease CurrentSince Jan 21, 2021 Accepting new patients
Kaleida Health CurrentSince Jan 12, 2021 Accepting new patients
Fairbanks Memorial Cardiology Center, LLC Past Accepting new patients

Locations

4100 Lake Otis Pkwy
Ste 302
Anchorage, AK 99508
Phone (907) 222-2924

4400 E Flamingo Ave
Ste 100
Nampa, ID 83687
Phone (208) 302-2200

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

100 High St
#13282
Buffalo, NY 14203

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

2223 W State St
Ste 120
Olean, NY 14760
Phone (716) 372-7337

515 Main St
Olean, NY 14760
Phone (716) 373-2600

338 Harris Hill Rd
Ste 207
Williamsville, NY 14221

Interoperability endpoints

  • Direct secure messaging: cmichaeles@06e1fb3a.micromddirect.com
  • Direct secure messaging: cmichaeles@gppc.medentdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CADGCD

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 9

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1225060684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD STE 208",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-799-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 W STATE ST STE 120",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601938",
            "telephone_number": "716-710-8266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 Grider St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142153098",
            "country_code": "US",
            "telephone_number": "716-898-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAELES",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALKI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "2193201",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "219320",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "MD60341312",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "219320",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "2112503",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02533668",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000527618001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026839401",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmichaeles@denaliheart.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4048 Laurel St Ste 202",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995085390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.