NPIMap

Individual provider Active NPI

Michael Thomas Mastropole

  • Internal Medicine Physician
  • Durham, NC
National Provider Identifier
1417536459
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2024-02536 Issued in NC
Practice address
4205 Ben Franklin Blvd
Durham, NC 27704-2143
Phone
(919) 477-6900
Fax
(919) 620-0974
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 2024-02536 NC Primary

Addresses

Primary practice location

4205 Ben Franklin Blvd
Durham, NC 27704-2143

Mailing address

13 Carolina St Apt B
Charleston, SC 29403-4789
Phone (704) 300-8368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241114002400 NC Practitioner - Internal Medicine 9638579113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group of NC, PLLCGroup PAC ID 2567593635, 27 clinicians

Practice addresses (Care Compare)

4205 Ben Franklin Blvd
Durham, NC 27704-2143
Phone (919) 477-6900

Hospital & facility affiliations

  • Duke Home Health Home health agency, Durham, NC, CCN 347136
  • Amedisys Home Health Home health agency, Durham, NC, CCN 347110
  • Bayada Home Health Care, Inc Home health agency, Roxboro, NC, CCN 347129
  • Centerwell Home Health Home health agency, Raleigh, NC, CCN 347178
  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155

Merit-based Incentive Payment System (MIPS)

Final score
95.64 of 100Reported as group
Quality
96.85
Promoting interoperability
100
Improvement activities
40
Cost
88.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024-02536NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group of NC, PLLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients

Locations

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

5107 Southpark Dr
Ste 104
Durham, NC 27713
Phone (919) 477-6900

4205 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 477-6900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2523/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.mastropole.1@27061.direct.athenahealth.com
  • Direct secure messaging: mmastropole352012@directhisp.wakemed.org

Organizations & group practices 1

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 12

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1417536459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CAROLINA ST APT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294034789",
            "telephone_number": "704-300-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042143",
            "telephone_number": "919-477-6900",
            "fax_number": "919-620-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROPOLE",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2024-02536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.