NPIMap

Individual provider Active NPI

Michael Harold Fealk, D.O.

  • Colon & Rectal Surgery Physician
  • Chico, CA
National Provider Identifier
1578769923
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
20A12901 Issued in CA
Practice address
2 Governors LN
Suite a
Chico, CA 95926-6300
Phone
(530) 891-4523
Fax
(530) 891-5934
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X A-1419-07 NM
Colon & Rectal Surgery Physician 208C00000X 20A12901 CA Primary

Addresses

Primary practice location

2 Governors LN
Suite a
Chico, CA 95926-6300

Mailing address

2 Governors LN
Suite a
Chico, CA 95926-6300
Phone (530) 891-4523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140103001491 CA Practitioner - Colorectal Surgery (Proctology) 6507921673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, shared by 18 NPIs, 330 clinicians

Practice addresses (Care Compare)

2 Governors LN
Chico, CA 95926-6300
Phone (530) 891-4523

2 Governors LN a
Chico, CA 95926-6300
Phone (530) 891-4523

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy284

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A12901CAMDColon & Rectal Surgery Physician
A-1419-07NMMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Jul 3, 2014 Accepting new patients
Enloe Medical Center Current Accepting new patients
Enloe Medical Center Colon & Rectal Surgery CurrentSince Jul 3, 2014 Accepting new patients
Adena Medical Group LLC Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

2 Governors Ln
Ste A
Chico, CA 95926
Phone (530) 891-4523

2 Governors Ln
Chico, CA 95926
Phone (530) 891-4523

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800

Interoperability endpoints

  • Direct secure messaging: mfealk15231@enloedirect.org

Organizations & group practices 6

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 1

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1578769923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GOVERNORS LN",
            "address_2": "SUITE A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959266300",
            "telephone_number": "530-891-4523",
            "fax_number": "530-891-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GOVERNORS LN",
            "address_2": "SUITE A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959266300",
            "telephone_number": "530-891-4523",
            "fax_number": "530-891-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEALK",
        "first_name": "MICHAEL",
        "middle_name": "HAROLD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NM",
            "license": "A-1419-07",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "20A12901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.