NPIMap

Individual provider Active NPI

Michael A Flaningam, MD

  • Internal Medicine Physician
  • Siletz, OR
National Provider Identifier
1588775092
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A68150 Issued in CA
Practice address
200 Gwee Shut Rd
Siletz, OR 97380-2036
Phone
(541) 444-1030
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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 A68150 CA Primary

Addresses

Primary practice location

200 Gwee Shut Rd
Siletz, OR 97380-2036

Mailing address

PO Box 320
Siletz, OR 97380-0320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20210917000727 OR Practitioner - Internal Medicine 0941372312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Confederated Tribes of SiletzGroup PAC ID 6204729288, 12 clinicians

Practice addresses (Care Compare)

200 Gwee Shut Rd
Siletz, OR 97380-2036
Phone (541) 444-1030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68150CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Tribes of Siletz CurrentSince Jul 26, 2021 Accepting new patients
Confederated Tribes of Siletz CurrentSince Jul 26, 2021 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.flaningam.p1@direct.siletzhealthclinic.nextgenshare.com

Organizations & group practices 3

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 42

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1588775092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320",
            "city": "SILETZ",
            "state": "OR",
            "postal_code": "973800320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GWEE SHUT RD",
            "city": "SILETZ",
            "state": "OR",
            "postal_code": "973802036",
            "telephone_number": "541-444-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANINGAM",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A68150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siletz, OR

Sources for this page

Verify at the official NPI Registry.