Individual provider Active NPI

Richard G Michal, M.D.

  • Family Medicine Physician
  • Rocky Mount, NC
National Provider Identifier
1558413757
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00-27066 Issued in NC
Practice address
804 English Rd
Suite 100
Rocky Mount, NC 27804-6032
Phone
(252) 443-3133
Fax
(252) 443-6726
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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 00-27066 NC Primary

Addresses

Primary practice location

804 English Rd
Suite 100
Rocky Mount, NC 27804-6032

Mailing address

804 English Rd
Suite 100
Rocky Mount, NC 27804-6032
Phone (252) 443-3133

Other identifiers 1

IdentifierTypeStateIssuer
8958779MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100201000645 NC Practitioner - Family Practice 9537050190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Duke University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4025 Capital Dr
Rocky Mount, NC 27804-3123
Phone (252) 451-7043

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27066NCMDPharmacist
00-27066NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard G Michal MD PLLC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: richard.michal.1@22747.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22747/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1558413757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 ENGLISH RD",
            "address_2": "SUITE 100",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278046032",
            "telephone_number": "252-443-3133",
            "fax_number": "252-443-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 ENGLISH RD",
            "address_2": "SUITE 100",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278046032",
            "telephone_number": "252-443-3133",
            "fax_number": "252-443-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAL",
        "first_name": "RICHARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "00-27066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8958779",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.