Michael Collins, MD
Individual provider Active NPI Internal Medicine Physician · Geneva, NY
NPI 1295899003 · NPPES record last updated Jun 28, 2010
Key facts
- NPI
- 1295899003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 154151 (NY)
- Practice address
- 200 North St
Geneva, NY 14456-1561 - Phone
- (315) 787-5100
- Fax
- (315) 787-5108
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100518000027 | NY | Practitioner - Internal Medicine | 2961316609 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154151 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Internal Medicine | Current |
Accepting new patients |
Locations
200 North St
Ste 101
Geneva, NY 14456
Phone (315) 787-5100
200 North St
Geneva, NY 14456
Phone (315) 787-5100
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 154151 | NY | Yes |
Addresses
Primary practice location
200 North St
Geneva, NY 14456-1561
Mailing address
200 North St
Geneva, NY 14456-1561
Phone (315) 787-5100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2593568 | Other | NY | GHI |
| 780438 | Medicaid | NY | |
| 102430BJ | Other | NY | PREFERRED CARE |
| P00003458 | Other | NY | R.R. MEDICARE |
| P010154151 | Other | NY | BLUE CHOICE |
| P010154151 | Other | NY | BLUE SHIELD |
| 154151-5 | Other | NY | WORKER'S COMP |
Other providers in Geneva, NY
- Patricia W Cochrane
- Shawna L Coffin
- Deborah Cole-Wenderlich
- Craig Collins
- Katharine Collins
- Jennifer Anne Colombo, Mt-BC
- Desarai Marie Conn
- Deborah A Connelly
- Taylor Conrad
- Barbara Marie Cook
All providers in Geneva, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.