NPIMap

Individual provider Active NPI

Paul Matthew Michaud, MD

  • Diagnostic Radiology Physician
  • Statesville, NC
National Provider Identifier
1306951918
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
63477 Issued in TN
Practice address
108 History LN
Statesville, NC 28677-9609
Phone
(865) 766-6870
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2006-00996 NC
Diagnostic Radiology Physician 2085R0202X 63477 TN Primary

Addresses

Primary practice location

108 History LN
Statesville, NC 28677-9609

Mailing address

2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Phone (865) 766-6870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WV, PA, NY4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210830000175 NC Practitioner - Diagnostic Radiology 8527239938 Reassigns benefits to 3 organizations
I20230206001356 WV Practitioner - Diagnostic Radiology 8527239938 Reassigns benefits to 1 organization
I20240521002351 PA Practitioner - Diagnostic Radiology 8527239938 Reassigns benefits to 1 organization
I20250414001213 NY Practitioner - Diagnostic Radiology 8527239938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia Radiology Associates PCGroup PAC ID 9133666431, 91 clinicians
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians

Practice addresses (Care Compare)

Statesville, NC 28677
Phone (469) 757-1042

100 Woods Rd
Valhalla, NY 10595-1530

105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 331-3131

108 History LN
Statesville, NC 28677-9609
Phone (469) 757-1042

15 Maple Ave
Warwick, NY 10990-1028
Phone (845) 986-2276

241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000

396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
75.62
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
065669GAMDDiagnostic Radiology Physician
2006-00996NCMDDiagnostic Radiology Physician
63477TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Mar 13, 2025 Accepting new patients
West Virginia University Medical Corporation Diagnostic Radiology CurrentSince Jan 26, 2023 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince May 15, 2024 Accepting new patients
Vista Radiology, PC. Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jan 26, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince May 1, 2025 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince May 15, 2024 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Jul 8, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince May 1, 2025 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince May 15, 2024 Accepting new patients

Locations

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

451 Murtha Dr
Waynesburg, PA 15370
Phone (304) 598-4253

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

Dept 888302
Knoxville, TN 37995

4709 Papermill Dr
Ste 201
Knoxville, TN 37909

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: pmichaud384175@direct.wvuhsdirect.com

Organizations & group practices 10

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

Hospital & facility affiliations 10

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1306951918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE # N304",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-766-6870",
            "fax_number": "865-766-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HISTORY LN",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286779609",
            "telephone_number": "865-766-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "PAUL",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2006-00996",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "63477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.