Individual provider Active NPI

Michael D Owens, D.O.

  • Emergency Medicine Physician
  • Portsmouth, VA
National Provider Identifier
1548379795
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0102201730 Issued in VA
Practice address
620 John Paul Jones Circile
Naval Medical Center Portsmouth
Portsmouth, VA 23708
Phone
(757) 953-1365
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.007036 OH
Emergency Medicine Physician 207P00000X 0102201730 VA Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 0102201730 VA
Emergency Medicine Physician 207P00000X 02004831A IN

Addresses

Primary practice location

620 John Paul Jones Circile
Naval Medical Center Portsmouth
Portsmouth, VA 23708

Mailing address

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-1365

Other practice location 1

2200 N Section St
Sullivan, IN 47882-7523
Phone (812) 268-4311

Other identifiers 9

IdentifierTypeStateIssuer
082480OtherVABLUE CROSS BLUE SHIELD VA
213586807OtherTRICARE
251490OtherMAMSI/MDIPA
P00237810OtherMEDICARE RAILROAD
010181674MedicaidVA
3900570OtherOPTIMUM CHOICE
89067A7MedicaidNC
95343OtherOPTIMA
067T0OtherNCBLUE CROSS BLUE SHIELD NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OH, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050907000724 VA Practitioner - Emergency Medicine 3971535212 Reassigns benefits to 4 organizations
I20160803000911 OH Practitioner - Emergency Medicine 3971535212 Reassigns benefits to 2 organizations
I20171023002591 IN Practitioner - Emergency Medicine 3971535212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professionals of Indiana PCGroup PAC ID 4183604150, 118 clinicians

Practice addresses (Care Compare)

2200 N Section St
Sullivan, IN 47882-7523
Phone (812) 268-4311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.007036OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Jan 2, 2016 Accepting new patients
Tidewater Emergency Medical Care, LTD. Emergency Medicine CurrentSince Jul 9, 2005 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 2, 2016 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Western Virginia Regional Emergency Physicians, LLC Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Tidewater Emergency Medical Care PastSince Feb 2, 2020 Accepting new patients
JTDM Family Practice LLC Past Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

100 15th St NW
Ste A
Norton, VA 24273
Phone (276) 439-1840

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

Organizations & group practices 11

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 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1548379795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIRCILE",
            "address_2": "NAVAL MEDICAL CENTER PORTSMOUTH",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "757-953-1365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 N Section St",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "IN",
            "postal_code": "478827523",
            "country_code": "US",
            "telephone_number": "812-268-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.007036",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102201730",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VA",
            "license": "0102201730",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02004831A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD VA",
            "identifier": "082480",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "213586807",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/MDIPA",
            "identifier": "251490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00237810",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010181674",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "3900570",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89067A7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "95343",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "067T0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.