Individual provider Active NPI

Michael A Sty, M.D.

  • Family Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1649223181
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101248069 Issued in VA
Practice address
435 Merchant Walk SQ Ste 400
Charlottesville, VA 22902-6516
Phone
(434) 654-1800
Fax
(844) 883-6065
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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 0101248069 VA Primary

Addresses

Primary practice location

435 Merchant Walk SQ Ste 400
Charlottesville, VA 22902-6516

Mailing address

PO Box 746550
Atlanta, GA 30374-6550
Phone (888) 236-2263

Other practice location 1

125 Riverbend Dr
Ste 3
Charlottesville, VA 22911
Phone (434) 823-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101111000465 VA Practitioner - Family Practice 4688774748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Martha Jefferson Medical Group LLCGroup PAC ID 5991889081, 197 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1646 Park Ridge Dr
Crozet, VA 22932-3155
Phone (434) 654-2760

250 Merchant Walk SQ
Charlottesville, VA 22902-6511
Phone (434) 328-4900

Hospital & facility affiliations

  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

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
0101248069VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Jefferson Medical Group LLC Family Medicine CurrentSince Apr 12, 2021 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Jul 5, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 5, 2018 Accepting new patients
First Med, Inc. Family Medicine Past Accepting new patients
Martha Jefferson Hospital Past Accepting new patients
First Med Inc Family Medicine PastSince May 12, 1999 Accepting new patients

Locations

435 Merchant Walk Sq
Ste 400
Charlottesville, VA 22902
Phone (434) 654-1800

315 10th St NE
Charlottesville, VA 22902
Phone (434) 654-1950

1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760

8644 Sudley Rd
#220
Manassas, VA 20110

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 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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1649223181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746550",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746550",
            "telephone_number": "888-236-2263",
            "fax_number": "844-883-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 MERCHANT WALK SQ STE 400",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229026516",
            "telephone_number": "434-654-1800",
            "fax_number": "844-883-6065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Riverbend Dr",
            "address_2": "STE 3",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "22911",
            "country_code": "US",
            "telephone_number": "434-823-4567",
            "fax_number": "434-823-4272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STY",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101248069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.