Individual provider Active NPI

Michael Abou Jones, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1538220199
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
172400 Issued in NY
Practice address
450 Fashion Ave Ste 309
New York, NY 10123-0309
Phone
(212) 594-0423
Fax
(212) 594-2468
NPI assigned
Dec 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 172400 NY Primary

Addresses

Primary practice location

450 Fashion Ave Ste 309
New York, NY 10123-0309

Mailing address

450 Fashion Ave Ste 309
New York, NY 10123-0309
Phone (212) 594-0423

Other identifiers 1

IdentifierTypeStateIssuer
I DO NOT KNOW #MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20190823000869 ND Practitioner - Internal Medicine 1456650332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Elbowoods Memorial Health CenterGroup PAC ID 1052477494, 23 clinicians

Practice addresses (Care Compare)

1058 College Dr
New Town, ND 58763-9112
Phone (701) 627-4750

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172400NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elbowoods Memorial Health Center CurrentSince Jun 12, 2019 Accepting new patients

Locations

1058 College Dr
New Town, ND 58763
Phone (701) 627-4750

1251 Elbowoods Loop
New Town, ND 58763
Phone (701) 627-4750

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538220199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 FASHION AVE STE 309",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101230309",
            "telephone_number": "212-594-0423",
            "fax_number": "212-594-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 FASHION AVE STE 309",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101230309",
            "telephone_number": "212-594-0423",
            "fax_number": "212-594-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHAEL",
        "middle_name": "ABOU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "172400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I DO NOT KNOW #",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.