NPIMap

Individual provider Active NPI

Walid Michelen, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1336298645
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
135831 Issued in NY
Practice address
175 Nagle Ave
New York, NY 10034-6001
Phone
(212) 544-2001
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 135831 NY Primary

Addresses

Primary practice location

175 Nagle Ave
New York, NY 10034-6001

Mailing address

22 Nordica Dr
Croton on Hudson, NY 10520-3023
Phone (914) 271-2343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110331000038 NY Practitioner - Internal MedicinePractitioner - Rheumatology 0042128936 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
JS Weill Medical College, Cornell University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristate Physician Services PCGroup PAC ID 4284028465, 4 clinicians
Alegria Operating LLCGroup PAC ID 1759775570, 2 clinicians

Practice addresses (Care Compare)

153 W 27TH St
Suite 1100
New York, NY 10001-6251
Phone (833) 947-4927

2246 31St St
Astoria, NY 11105-2786
Phone (718) 728-8800

3475 3Rd Ave
Bronx, NY 10456-4811
Phone (516) 368-4499

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135831NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Partners Care Internal Medicine CurrentSince Jan 7, 2024 Accepting new patients
Medidental Group LLC CurrentSince Mar 11, 2025 Accepting new patients
Tristate Physician Services PC Internal Medicine CurrentSince Oct 5, 2025 Accepting new patients
Healthquest Health Center LLC CurrentSince Jul 20, 2025 Accepting new patients
The New York and Presbyterian Hospital Internal Medicine Past Accepting new patients
New York City Health and Hospitals Corporation PastSince Jan 28, 2015 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

3500 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 769-0758

153 W 27th St
Ste 1100
New York, NY 10001
Phone (833) 947-4927

500 Fashion Ave
New York, NY 10018
Phone (212) 642-3451

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIHDD/Endpoint/JJIHDD

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
St. Nicholas Houses Child Health ClinicNew York, NY, CCN 571032 Federally qualified health center Corporate Officer
W-2 Managing Employee
Operational/Managerial Control		 Jan 28, 2015
Jul 1, 2015
Jan 28, 2015
Brownsville Child Health ClinicBrooklyn, NY, CCN 571036 Federally qualified health center Corporate Officer
W-2 Managing Employee
Operational/Managerial Control		 Jan 28, 2015
Jul 1, 2015
Jan 28, 2015
Judson Health CenterNew York, NY, CCN 571031 Federally qualified health center Corporate Officer
W-2 Managing Employee
Operational/Managerial Control		 Jan 28, 2016
Jul 1, 2015
Jan 28, 2015

Owned or controlled facilities with NPI records 3

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

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336298645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 NORDICA DR",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105203023",
            "telephone_number": "914-271-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NAGLE AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100346001",
            "telephone_number": "212-544-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELEN",
        "first_name": "WALID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "135831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.