Individual provider Active NPI

Michael D Dorcik, DO

  • Family Medicine Physician
  • Biloxi, MS
National Provider Identifier
1356414908
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14179 Issued in MS
Practice address
1046 Division St
Biloxi, MS 39530-2935
Phone
(228) 374-2494
Fax
(228) 374-2713
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14179 MS Primary

Addresses

Primary practice location

1046 Division St
Biloxi, MS 39530-2935

Mailing address

PO Box 475
Biloxi, MS 39533-0475
Phone (228) 374-2494

Other identifiers 1

IdentifierTypeStateIssuer
0119964MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20040819000743 MS Practitioner - Obstetrics/Gynecology 7416920178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of New England, College of Osteo Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Family Health Center, Inc 48 clinicians

Practice addresses (Care Compare)

1046 Division St
Biloxi, MS 39530-2935
Phone (228) 374-2494

715 A Division St
Biloxi, MS 39530-2209
Phone (229) 374-4991

735 Division St
Biloxi, MS 39530-2209
Phone (228) 386-1190

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Health Center, Inc CurrentSince Jun 8, 2009 Accepting new patients
Coastal Family Health Center, Inc Current Accepting new patients
Coastal Family Health Center, Inc Past Accepting new patients

Locations

715A Division St
Biloxi, MS 39530
Phone (228) 374-4991

1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494

15024 Mlk
Gulfport, MS 39501
Phone (228) 846-0003

Interoperability endpoints

  • Direct secure messaging: michael.dorcik@direct.cfhc.nextgenshare.com

Organizations & group practices 3

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1356414908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 475",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395330475",
            "telephone_number": "228-374-2494",
            "fax_number": "228-374-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 DIVISION ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395302935",
            "telephone_number": "228-374-2494",
            "fax_number": "228-374-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORCIK",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "14179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119964",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.