NPIMap

Individual provider Active NPI

Michael J Macdougall, MD

  • Surgery Physician
  • Mechanicsville, VA
National Provider Identifier
1306921184
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101057303 Issued in VA
Practice address
8262 Atlee Rd
Suite 205
Mechanicsville, VA 23116-1816
Phone
(804) 559-0194
Fax
(804) 559-0198
NPI assigned
Oct 27, 2006
Last updated
Aug 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101057303 VA Primary

Addresses

Primary practice location

8262 Atlee Rd
Suite 205
Mechanicsville, VA 23116-1816

Mailing address

8262 Atlee Rd
Suite 205
Mechanicsville, VA 23116-1816
Phone (804) 559-0194

Other identifiers 2

IdentifierTypeStateIssuer
C06115OtherVAGROUP PTAN
020038885OtherVARAILROAD MEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110217000426 VA Practitioner - General Surgery 9537340914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Duke University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1510 N 28TH St
Richmond, VA 23223-5311

8220 Meadowbridge Rd
Suite 101
Mechanicsville, VA 23116-2336
Phone (804) 288-2673

8262 Atlee Rd
Suite 205
Mechanicsville, VA 23116-1816
Phone (804) 559-0194

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)24
Mastectomy27
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101057303VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours - Memorial Regional Medical Center, Inc. CurrentSince Dec 1, 2010 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC CurrentSince Dec 1, 2010 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Surgery CurrentSince Jan 1, 2020 Accepting new patients
Surgical Specialists of Richmond Surgery Current Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Current Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Past Accepting new patients
Bon Secours Memorial Regional Medical Center Past Accepting new patients
Bon Secours Memorial Regional Medical Center Inc Surgery Past Accepting new patients
Bon Secours Memorial Regional Medical Center Inc Surgery Past Accepting new patients
Bon Secours Memorial Regional Medical Center Inc Past Accepting new patients
Bon Secours Memorial Regional Medical Center Past Accepting new patients

Locations

1041 Sharon Rd
Ste 205
King William, VA 23086
Phone (804) 746-1677

8262 Atlee Rd
Ste 205
Mechanicsvlle, VA 23116
Phone (804) 559-0194

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

4630 S Laburnum Ave
Richmond, VA 23231
Phone (804) 226-2444

Interoperability endpoints

  • Direct secure messaging: mmacdougall1153298@direct.bsmhealth.org

Organizations & group practices 12

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1306921184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8262 ATLEE RD",
            "address_2": "SUITE 205",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161816",
            "telephone_number": "804-559-0194",
            "fax_number": "804-559-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8262 ATLEE RD",
            "address_2": "SUITE 205",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161816",
            "telephone_number": "804-559-0194",
            "fax_number": "804-559-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101057303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06115",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "020038885",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.