Individual provider Active NPI

Raymond S Michael, MD

  • Obstetrics & Gynecology Physician
  • Marshall, MN
National Provider Identifier
1417923715
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
46383 Issued in MN
Practice address
300 South Bruce St
Marshall, MN 56258
Phone
(507) 532-9631
Fax
(507) 532-1176
NPI assigned
Feb 27, 2006
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 46383 MN Primary

Addresses

Primary practice location

300 South Bruce St
Marshall, MN 56258

Mailing address

300 South Bruce St
Marshall, MN 56258
Phone (507) 532-9631

Other identifiers 1

IdentifierTypeStateIssuer
388618200MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040225000193 MN Practitioner - Obstetrics/Gynecology 8921994120 Reassigns benefits to 6 organizations
I20251105001052 FL Practitioner - Obstetrics/Gynecology 8921994120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5801 Postal Rd
Cleveland, OH 44181-9600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pipestone County Medical Center CurrentSince May 20, 2022 Accepting new patients
Rural Health Care, Inc CurrentSince Jan 1, 2022 Accepting new patients
Rural Health Care, Inc Obstetrics & Gynecology Current Accepting new patients
Pipestone County Medical Center Avera CurrentSince May 20, 2022 Accepting new patients
Winona Health Services CurrentSince Jun 1, 2025 Accepting new patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Oct 1, 2025 Accepting new patients
Pipestone County Medical Center Current Accepting new patients
Avera Marshall CurrentSince Jan 1, 2019 Accepting new patients
Avera Marshall Current Accepting new patients
Pipestone County Medical Center Current Accepting new patients
Avera Marshall CurrentSince Jan 1, 2019 Accepting new patients
Rural Health Care, Inc CurrentSince Jan 1, 2022 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1420 Celebration Blvd
Ste 309
Celebration, FL 34747

1160 Cypress Glen Cir
Kissimmee, FL 34741
Phone (407) 518-1993

13 Neptune Rd
Kissimmee, FL 34744

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 487-2167

5800 S Semoran Blvd
Ste A
Orlando, FL 32822
Phone (407) 270-5925

2078 Winter Springs Blvd
Oviedo, FL 32765
Phone (407) 453-2072

1521 Carlson St
Marshall, MN 56258
Phone (507) 532-1101

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

300 S Bruce St
Ste 100
Marshall, MN 56258

916 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

1216 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2921

1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: raymond.michael@avera.sdhealthlink.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1417923715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTH BRUCE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "56258",
            "telephone_number": "507-532-9631",
            "fax_number": "507-532-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTH BRUCE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "56258",
            "telephone_number": "507-532-9631",
            "fax_number": "507-532-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "RAYMOND",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "46383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388618200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

Verify at the official NPI Registry.