Individual provider Active NPI

Josephine Mikhail, MD

  • Internal Medicine Physician
  • Madison, OH
National Provider Identifier
1508946708
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35074575M Issued in OH
Practice address
701 N Lake St Ste 102
Madison, OH 44057-3152
Phone
(440) 428-1106
Fax
(440) 428-8697
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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 35074575M OH Primary

Addresses

Primary practice location

701 N Lake St Ste 102
Madison, OH 44057-3152

Mailing address

PO Box 92101
Cleveland, OH 44191-2101
Phone (216) 383-6776

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address josephinemikhail@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100311000525 OH Practitioner - Internal Medicine 5991840282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

701 N Lake St
Suite 102
Madison, OH 44057-3152
Phone (216) 383-0100

Hospital & facility affiliations

  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Uhhs Memorial Hospital of Geneva Hospital, Geneva, OH, CCN 361307
  • Lake Health Hospital, Concord, OH, CCN 360098
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • University Hospitals Conneaut Medical Center Hospital, Conneaut, OH, CCN 361308

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35074575MOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Internal Medicine CurrentSince Oct 1, 1999 Accepting new patients
University Primary Care Practices Past Accepting new patients
University Primary Care Physicians Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

2131 Lake Ave
Ste 4
Ashtabula, OH 44004
Phone (440) 964-3733

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

701 N Lake St
#102
Madison, OH 44057
Phone (440) 428-1106

Interoperability endpoints

  • Direct secure messaging: jmikhail37329@ehrdirect.uhhospitals.org

Organizations & group practices 5

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 8

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1508946708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92101",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441912101",
            "telephone_number": "216-383-6776",
            "fax_number": "216-383-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N LAKE ST STE 102",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440573152",
            "telephone_number": "440-428-1106",
            "fax_number": "440-428-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAIL",
        "first_name": "JOSEPHINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35074575M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "josephinemikhail@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "701 N Lake St Ste 102",
            "city": "Madison",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440573152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, OH

Sources for this page

Verify at the official NPI Registry.