Individual provider Active NPI

Michael James Eliason, M.D.

  • Otolaryngology Physician
  • Suffolk, VA
National Provider Identifier
1326465352
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101258692 Issued in VA
Practice address
1030 Champions Ways
Suffolk, VA 23435
Phone
(757) 673-6118
NPI assigned
Mar 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0116027480 VA
Otolaryngology Physician 207Y00000X 0101258692 VA Primary

Addresses

Primary practice location

1030 Champions Ways
Suffolk, VA 23435

Mailing address

1030 Champions Ways
Suffolk, VA 23435
Phone (757) 673-6118

Other practice location 1

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 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
I20160112001578 VA Practitioner - Otolaryngology 5496056426 Reassigns benefits to 3 organizations
I20200803000478 FL Practitioner - Otolaryngology 5496056426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physicians Multispecialty Group, PCGroup PAC ID 2860398526, 259 clinicians

Practice addresses (Care Compare)

1030 Champions Way
Suffolk, VA 23435-3914
Phone (757) 673-6118

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116027480VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Physician Practices LLC General Practice CurrentSince Feb 28, 2025 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Oct 17, 2024 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Oct 17, 2024 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jun 16, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 30, 2020 Accepting new patients
Florida Hospital Medical Group Inc General Practice CurrentSince Jul 30, 2020 Accepting new patients
Danville Physician Practices LLC CurrentSince Feb 28, 2025 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jun 16, 2025 Accepting new patients

Locations

410 Celebration Pl
Ste 100
Kissimmee, FL 34747
Phone (321) 939-3000

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

159 Executive Dr
Ste C
Danville, VA 24541
Phone (434) 792-0830

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 113
Newport News, VA 23606
Phone (757) 327-0657

704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300

1030 Champions Way
Suffolk, VA 23435
Phone (757) 673-6118

Interoperability endpoints

  • Direct secure messaging: michael.eliason.1@19847.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 9

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 2

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1326465352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 CHAMPIONS WAYS",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "23435",
            "telephone_number": "757-673-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 CHAMPIONS WAYS",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "23435",
            "telephone_number": "757-673-6118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 John Paul Jones Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-953-2800",
            "fax_number": "757-953-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIASON",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0116027480",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101258692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.