Active NPI
Robert Paulsen Michael, M.D.
- Pediatrics Physician
- Lebanon, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 184207
- Practice address
- 675 N 5TH St
Lebanon, OR 97355-2875 - Phone
- (541) 451-6282
- Fax
- (541) 812-2038
- NPI assigned
- Jun 3, 2014
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 184207 | OR | Primary |
| Pediatrics Physician | 208000000X | 0116026909 | VA |
Addresses
Primary practice location
675 N 5TH St
Lebanon, OR 97355-2875
Mailing address
PO Box 1193
Corvallis, OR 97339-1193
Other practice location 1
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-7834
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmichael137084@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Howard University College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6388
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184207 | OR | MD | Pediatrics Physician |
| 0116026909 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany General Hospital | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc. | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Samaritan North Lincoln Hospital | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc. | Current | Accepting new patients | |
| Samaritan North Lincoln Hospital | Current | Accepting new patients | |
| Mid-Valley Healthcare Inc | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Mid-Valley Healthcare Inc | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Samaritan North Lincoln Hospital | Current | Accepting new patients | |
| Mid-Valley Healthcare, Inc. | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients |
Locations
705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850
3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261
777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769
325 Park St
Lebanon, OR 97355
Phone (541) 451-7200
675 N 5th St
Lebanon, OR 97355
Phone (541) 451-6282
3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661
930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244
Interoperability endpoints
- rmichael137084@samhealth.direct-ci.com
Organizations & group practices 15
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.
-
dba Samaritan Lebanon Community Hospital
- Critical Access Hospital
- Lebanon, OR
- NPI 1689625980
-
dba Samaritan Albany General Hospital
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
dba Good Samaritan Regional Medical Center
- General Acute Care Hospital
- Corvallis, OR
- NPI 1962453134
-
- Critical Access Hospital
- Lincoln City, OR
- NPI 1306897491
-
dba Samaritan Pacific Communities Hospital
- Critical Access Hospital
- Newport, OR
- NPI 1801847066
-
dba Samaritan Medical Group Occupational Medicine - Newport
- Physical Medicine & Rehabilitation Physician
- Newport, OR
- NPI 1174888010
-
dba Samaritan InterCommunity Health Clinic - Albany
- Family Medicine Physician
- Albany, OR
- NPI 1306679816
-
dba Samaritan Family Medicine, Southwest
- Family Medicine Physician
- Corvallis, OR
- NPI 1376809475
-
dba Samaritan Gynecologic Oncology - Corvallis
- Gynecologic Oncology Physician
- Corvallis, OR
- NPI 1710787916
-
dba Samaritan Outpatient Treatment & Recovery Services - Newport
- Addiction Medicine (Internal Medicine) Physician
- Newport, OR
- NPI 1740087899
-
dba Samaritan Cardiology-Lebanon
- Cardiovascular Disease Physician
- Lebanon, OR
- NPI 1891059135
-
dba Samaritan Hematology & Oncology - Lincoln City
- Hematology & Oncology Physician
- Lincoln City, OR
- NPI 1629338868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346653722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1193",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 N 5TH ST",
"city": "LEBANON",
"state": "OR",
"postal_code": "973552875",
"telephone_number": "541-451-6282",
"fax_number": "541-812-2038"
}
],
"practiceLocations": [
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423307",
"country_code": "US",
"telephone_number": "703-776-7834",
"fax_number": "703-776-4323",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHAEL",
"first_name": "ROBERT",
"middle_name": "PAULSEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-03",
"last_updated": "2022-07-21",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "184207",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0116026909",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rmichael137084@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "675 N 5th St",
"city": "Lebanon",
"state": "OR",
"country_code": "US",
"postal_code": "973552875",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lebanon, OR
- Linda Medero, R.N.
- Riley James Meister
- Thurman Allen Merritt
- Anna Marie Lee Messenger, DDS
- Keith Messenger, DO
- Bradley Thomas Michel
- Mid Valley Healthcare Inc (Samaritan Lebanon Community Hospital Inpatient Pharmacy)
- Mid Valley Healthcare Inc
- Mid Valley Healthcare Inc (Samaritan Pharmacy - Lebanon)
- Mid-Valley Healthcare Inc (Samaritan Treatment and Recovery Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.