Individual provider Active NPI

Michael Michelli, AU.D.

  • Audiologist
  • Wilmington, DE
National Provider Identifier
1649720251
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
O2-0000118 Issued in DE
Practice address
3605 Silverside Rd
Wilmington, DE 19810-5101
Phone
(302) 478-4942
Fax
(302) 478-4169
NPI assigned
Oct 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X O2-0000118 DE Primary
Audiologist 231H00000X AT001141L PA

Addresses

Primary practice location

3605 Silverside Rd
Wilmington, DE 19810-5101

Mailing address

3605 Silverside Rd
Wilmington, DE 19810-5101
Phone (302) 478-4942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
O2-0000118DEMDAudiologist
AT001141LPAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brandywine Hearing Center Audiologist CurrentSince Oct 2, 2022 Accepting new patients

Locations

3605 Silverside Rd
Wilmington, DE 19810
Phone (302) 478-4942

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.

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1649720251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198105101",
            "telephone_number": "302-478-4942",
            "fax_number": "302-478-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198105101",
            "telephone_number": "302-478-4942",
            "fax_number": "302-478-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELLI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DE",
            "license": "O2-0000118",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT001141L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.