Individual provider Active NPI

Michael James Ellett Monson, D.O., M.A.

  • Pulmonary Disease Physician
National Provider Identifier
1275852584
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2019-00499 Issued in NC
Practice address
U.S. Naval Hospital, Okinawa
Fpo, AP 96362
JP
Phone
(098) 971-9355
NPI assigned
May 26, 2010
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2019-00499 NC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X DO-0122 GU
Pulmonary Disease Physician 207RP1001X DO-0122 GU
Pulmonary Disease Physician 207RP1001X 2019-00499 NC Primary

Addresses

Primary practice location

U.S. Naval Hospital, Okinawa
Fpo, AP 96362
JP

Mailing address

PSC 559 Box 5254
Fpo, AP 96377-0053

Other practice location 1

Naval Medical Center Camp Lejeune
100 Brewster Blvd.
Camp Lejeune, NC 28547
Phone (910) 450-4209

Other practice location 2

2209 S Sterling St Ste 600
Morganton, NC 28655-4092
Phone (828) 580-4577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GU2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200323001998 NC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3870720535 Reassigns benefits to 1 organization
I20240520003015 GU Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 3870720535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Midwestern University, Chicago College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Arts

State licenses

LicenseStateTypeSpecialty
DO-0122GUMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Healthcare Development Incorporated CurrentSince May 1, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Pulmonary Disease CurrentSince Jan 27, 2020 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jan 27, 2020 Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

2209 S Sterling St
Ste 600
Morganton, NC 28655
Phone (828) 580-4577

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1275852584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 559 BOX 5254",
            "city": "FPO",
            "state": "AP",
            "postal_code": "963770053"
        },
        {
            "country_code": "JP",
            "country_name": "Japan",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "U.S. NAVAL HOSPITAL, OKINAWA",
            "city": "FPO",
            "state": "AP",
            "postal_code": "96362",
            "telephone_number": "098-971-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Naval Medical Center Camp Lejeune",
            "address_2": "100 Brewster Blvd.",
            "address_purpose": "LOCATION",
            "city": "Camp Lejeune",
            "state": "NC",
            "postal_code": "28547",
            "country_code": "US",
            "telephone_number": "910-450-4209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2209 S Sterling St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554092",
            "country_code": "US",
            "telephone_number": "828-580-4577",
            "fax_number": "828-580-4599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONSON",
        "first_name": "MICHAEL",
        "middle_name": "JAMES ELLETT",
        "name_prefix": "Dr.",
        "credential": "D.O., M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2019-00499",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GU",
            "license": "DO-0122",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GU",
            "license": "DO-0122",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2019-00499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.