Individual provider Active NPI

Elyse Lynn Michelson, M.D.

  • Internal Medicine Physician
  • Reisterstown, MD
National Provider Identifier
1346299591
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D60680 Issued in MD
Practice address
750 Main St Ste 205
Reisterstown, MD 21136-2516
Phone
(410) 526-3041
Fax
(410) 584-1890
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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 D60680 MD Primary

Addresses

Primary practice location

750 Main St Ste 205
Reisterstown, MD 21136-2516

Mailing address

515 Fairmount Ave Ste 400
Towson, MD 21286-8518
Phone (410) 526-3041

Other identifiers 1

IdentifierTypeStateIssuer
403260800MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elyse.michelson.p2@direct.clinicalassociates.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040302001367 MD Practitioner - Internal Medicine 5092602227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Associates P aGroup PAC ID 1254631005, 44 clinicians

Practice addresses (Care Compare)

120 Westminister Pike
Reisterstown, MD 21136-1027
Phone (410) 526-7800

1838 Greene Tree Rd
Pikesville, MD 21208-7108
Phone (443) 471-0460

515 Fairmount Ave
Towson, MD 21286-5466
Phone (410) 296-5300

Hospital & facility affiliations

  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Amedisys Home Health Home health agency, Westminster, MD, CCN 217048
  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
80.72
Promoting interoperability
79
Improvement activities
40
Cost
76.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Associates P a Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Clinical Associates PA CurrentSince Jan 1, 2016 Accepting new patients
Clinical Associates P a Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1838 Greene Tree Rd
Ste 135
Pikesville, MD 21208
Phone (443) 471-0460

120 Westminster Pike
Ste 104
Reisterstown, MD 21136
Phone (410) 526-3083

750 Main St
Ste 205
Reisterstown, MD 21136
Phone (410) 526-3041

120 Westminster Pike
#104
Reisterstown, MD 21136

515 Fairmount Ave
Ste 400
Towson, MD 21286
Phone (410) 494-1324

515 Fairmount Ave
Towson, MD 21286
Phone (410) 296-5300

7600 Osler Dr
Ste 407
Towson, MD 21204
Phone (410) 321-9108

Interoperability endpoints

  • Direct secure messaging: elyse.michelson.p2@direct.clinicalassociates.nextgenshare.com

Organizations & group practices 4

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 4

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1346299591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE STE 400",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868518",
            "telephone_number": "410-526-3041",
            "fax_number": "410-584-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MAIN ST STE 205",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362516",
            "telephone_number": "410-526-3041",
            "fax_number": "410-584-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSON",
        "first_name": "ELYSE",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D60680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403260800",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elyse.michelson.p2@direct.clinicalassociates.nextgenshare.com",
            "affiliation": "N",
            "address_1": "750 Main St Ste 205",
            "city": "Reisterstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211362516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.