Individual provider Active NPI

Michael Adam Poles, M.D., PH.D.

  • Gastroenterology Physician
  • Ny, NY
National Provider Identifier
1346280690
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
198245 Issued in NY
Practice address
Manhattan VA Hospital 423 East 23Rd St.
Room 11097-S
Ny, NY 10010
Phone
(212) 686-7500
Fax
(212) 951-3481
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 198245 NY Primary

Addresses

Primary practice location

Manhattan VA Hospital 423 East 23Rd St.
Room 11097-S
Ny, NY 10010

Mailing address

16 Overbrook Dr
Millwood, NY 10546-1033
Phone (914) 391-3710

Other identifiers 1

IdentifierTypeStateIssuer
198245OtherNYNYS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
198245NYMDGastroenterology Physician

Interoperability endpoints

  • Direct secure messaging: mpoles681101@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346280690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OVERBROOK DR",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105461033",
            "telephone_number": "914-391-3710",
            "fax_number": "212-951-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANHATTAN VA HOSPITAL 423 EAST 23RD ST.",
            "address_2": "ROOM 11097-S",
            "city": "NY",
            "state": "NY",
            "postal_code": "10010",
            "telephone_number": "212-686-7500",
            "fax_number": "212-951-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLES",
        "first_name": "MICHAEL",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "198245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "198245",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ny, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.