Individual provider Active NPI

Michael Habib Jabarie Burchell, MD

  • Pain Medicine (Anesthesiology) Physician
  • Statesville, NC
National Provider Identifier
1548655616
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
2016-02560 Issued in NC
Practice address
293 Old Mocksville Rd
Statesville, NC 28625-1903
Phone
(704) 872-8711
Fax
(980) 635-1650
NPI assigned
Apr 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 2016-02560 NC Primary

Addresses

Primary practice location

293 Old Mocksville Rd
Statesville, NC 28625-1903

Mailing address

124 Sunset Hill Rd
Statesville, NC 28625-2729
Phone (704) 872-8711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.burchellmd.p1@direct.carolinaspecialty.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MD, DC3 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
I20200717000659 NC Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 3779892088 Reassigns benefits to 1 organization
I20240405001242 MD Practitioner - AnesthesiologyPractitioner - Pain Management 3779892088 Reassigns benefits to 1 organization
I20240419002577 DC Practitioner - AnesthesiologyPractitioner - Pain Management 3779892088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Kansas School of Med (KC/Wich/Sal), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Pain Management, LLCGroup PAC ID 0547246555, 38 clinicians
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

1150 Professional CT P
Hagerstown, MD 21740-4100
Phone (301) 850-2768

12 Newport Dr
Forest Hill, MD 21050-1758

510 Upper Chesapeake Dr
Suite 415
Bel Air, MD 21014-4336
Phone (443) 270-7246

7120 Minstrel Way
Suite 106
Columbia, MD 21045-5274
Phone (410) 290-9191

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.49 of 100Reported as group
Quality
92.38
Improvement activities
40
Cost
74.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Specialty Care, PA CurrentSince Aug 1, 2020 Accepting new patients
Center for Pain Management, LLC CurrentSince Jan 22, 2024 Accepting new patients
NSPC Surgery Center of Maryland LLC Past Accepting new patients
ASC Development Company, LLC Past Accepting new patients
Center for Pain Management, LLC Past Accepting new patients
ASC Development Company, LLC Past Accepting new patients
ASC Development Company, LLC Past Accepting new patients

Locations

4960 SW 72nd Ave
Ste 405
Miami, FL 33155
Phone (469) 458-9222

510 Upper Chesapeake Dr
Ste 415
Bel Air, MD 21014
Phone (443) 643-3000

16900 Science Dr
Ste 100
Bowie, MD 20715
Phone (301) 464-7008

7120 Minstrel Way
Ste 106
Columbia, MD 21045
Phone (410) 290-9191

940 Seton Dr
Ste A
Cumberland, MD 21502
Phone (301) 777-2543

75 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (301) 620-0012

19735 Germantown Rd
Ste 360
Germantown, MD 20874
Phone (301) 528-2810

1600 Crain Hwy S
Ste 301A
Glen Burnie, MD 21061

1600 Crain Hwy S
Ste 301
Glen Burnie, MD 21061
Phone (410) 760-1400

1150 Professional Ct
Ste B
Hagerstown, MD 21740
Phone (301) 797-4901

1150 Professional Ct
Ste P
Hagerstown, MD 21740
Phone (301) 665-9696

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

1838 Greene Tree Rd
Ste 150
Pikesville, MD 21208
Phone (301) 881-7246

11921 Rockville Pike
Ste 505
Rockville, MD 20852
Phone (301) 881-7246

6820 Hospital Dr
Ste 302
Rosedale, MD 21237
Phone (410) 682-2823

5010 Regency Pl
Ste 202B
White Plains, MD 20695
Phone (301) 645-1523

5010 Regency Pl
Ste 202A
White Plains, MD 20695
Phone (301) 645-1523

293 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 872-8711

124 Sunset Hill Rd
Statesville, NC 28625
Phone (704) 872-8711

Interoperability endpoints

  • Direct secure messaging: mburchell@treatingpain.emadirect.md

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1428192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1548655616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SUNSET HILL RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252729",
            "telephone_number": "704-872-8711",
            "fax_number": "704-872-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 OLD MOCKSVILLE RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251903",
            "telephone_number": "704-872-8711",
            "fax_number": "980-635-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHELL",
        "first_name": "MICHAEL",
        "middle_name": "HABIB JABARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-05",
        "last_updated": "2022-01-04",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "2016-02560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.burchellmd.p1@direct.carolinaspecialty.nextgenshare.com",
            "affiliation": "N",
            "address_1": "293 Old Mocksville Rd",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286251903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.