Individual provider Active NPI

John W Michaels, MD

  • Family Medicine Physician
  • Liverpool, NY
National Provider Identifier
1497717441
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
228536 Issued in NY
Practice address
8100 Oswego Rd
Suite 220
Liverpool, NY 13090-1654
Phone
(315) 652-6551
Fax
(315) 652-9698
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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 228536 NY Primary

Addresses

Primary practice location

8100 Oswego Rd
Suite 220
Liverpool, NY 13090-1654

Mailing address

8324 Oswego Rd
Ste D
Liverpool, NY 13090-1086
Phone (315) 652-6551

Other identifiers 1

IdentifierTypeStateIssuer
P00169389OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040312000367 NY Practitioner - Family Practice 2264321819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crouse Medical Practice PLLCGroup PAC ID 8426189622, 187 clinicians

Practice addresses (Care Compare)

8324 Oswego Rd
Suite D
Liverpool, NY 13090-1086
Phone (315) 652-6551

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Liverpool, NY, CCN 337255
  • Nascentia Health at Home Home health agency, Syracuse, NY, CCN 337052
  • Hospice of Central New York Hospice, Liverpool, NY, CCN 331511
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions26
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228536NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Medical Practice, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Family Practice Associates PLLC Family Medicine CurrentSince Jul 1, 2003 Accepting new patients
Crouse Medical Practice PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

8100 Oswego Rd
Ste 220
Liverpool, NY 13090
Phone (315) 652-6551

8324 Oswego Rd
Ste D
Liverpool, NY 13090
Phone (315) 652-6551

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

Interoperability endpoints

  • Direct secure messaging: jmichaels@hiemail.healtheconnections.org
  • Direct secure messaging: jmichaels@crousemed.medentdirect.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.

Hospital & facility affiliations 5

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1497717441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 OSWEGO RD",
            "address_2": "STE D",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901086",
            "telephone_number": "315-652-6551",
            "fax_number": "315-652-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 OSWEGO RD",
            "address_2": "SUITE 220",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901654",
            "telephone_number": "315-652-6551",
            "fax_number": "315-652-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00169389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.