Individual provider Active NPI

Michael Giacalone Jr., M.D.

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1336129139
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301032442 Issued in MI
Practice address
G3375 S Saginaw St
Flint, MI 48529-1244
Phone
(810) 743-6830
Fax
(810) 743-7086
NPI assigned
Jan 18, 2006
Last updated
Nov 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301032442 MI Primary

Addresses

Primary practice location

G3375 S Saginaw St
Flint, MI 48529-1244

Mailing address

225 E 5TH St
Flint, MI 48502-1641
Phone (810) 406-4246

Other identifiers 3

IdentifierTypeStateIssuer
0B56065021OtherMIMEDICARE ID
MG032442OtherMIHEALTH PLUS AND BCBS
4832365MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000363 MI Practitioner - Internal Medicine 2062433048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

225 E 5TH St
Suite 300
Flint, MI 48502-1641
Phone (810) 406-4916

2900 N Saginaw St
Flint, MI 48505-4452
Phone (810) 789-9141

4154 W Vienna Rd
Clio, MI 48420-2809
Phone (810) 687-1008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301032442MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Community Health Network Inc. CurrentSince Mar 7, 2006 Accepting new patients
Hamilton Community Health Network, Inc. CurrentSince Mar 7, 2006 Accepting new patients

Locations

225 E 5th St
Ste 300
Flint, MI 48502
Phone (810) 406-4912

2900 N Saginaw St
Flint, MI 48505
Phone (810) 789-9141

G3375 S Saginaw St
Flint, MI 48529
Phone (810) 743-6830

1570 Suncrest Dr
Lapeer, MI 48446
Phone (810) 667-0244

10 Jennings Rd
Whitmore Lake, MI 48189
Phone (734) 257-9100

Interoperability endpoints

  • Direct secure messaging: michael.giacalone.1@25862.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Genesee County Health Dept.-BurtonBurton, MI, CCN 231886 Federally qualified health center Corporate Officer Jan 1, 2006
Hamilton Community Health Network IncFlint, MI, CCN 231806 Federally qualified health center Corporate Officer Jan 30, 2006
Hamilton Community Health Network, Inc.Flint, MI, CCN 231128 Federally qualified health center Corporate Director (100%) Dec 30, 2005

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1336129139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 5TH ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021641",
            "telephone_number": "810-406-4246",
            "fax_number": "810-424-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3375 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485291244",
            "telephone_number": "810-743-6830",
            "fax_number": "810-743-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACALONE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301032442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0B56065021",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS AND BCBS",
            "identifier": "MG032442",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4832365",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.