Michael Tyler Colesar

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

195381 Issued in AK

Practice address

688 6TH St
Fort Richardson, AK 99505

Phone

(541) 399-1269

NPI assigned

Apr 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Merit-based Incentive Payment System (MIPS)

Final score

83.9 of 100Reported as group

Quality

76.07

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Golden Heart Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Fairbanks, AK
  • NPI 1649469446
  Medicare reassignment NPD
• Mat-Su Emergency Medicine Physicians Corp

  • Emergency Medicine Physician
  • Palmer, AK
  • NPI 1073548129
  Medicare reassignment NPD

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

{
    "created_epoch": "1555113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1659834836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 6TH ST",
            "city": "FORT RICHARDSON",
            "state": "AK",
            "postal_code": "99505",
            "telephone_number": "541-399-1269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3985 Country Pine Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Hood Parkdale",
            "state": "OR",
            "postal_code": "970419784",
            "country_code": "US",
            "telephone_number": "541-399-1269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLESAR",
        "first_name": "MICHAEL",
        "middle_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-13",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "195381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaska Military Youth Academy
• Rocio Baquerizo, LPC,CS,NCC
• Bassett Army Community Hospital (TMC Richardson)
• Bassett Army Community Hospital (Usadc-Richardson)
• Benjamin J Belfiglio, D.D.S.
• Hayden Elizabeth Deprez, DDS
• Mark Steven Evans, REGISTERED NURSE
• Christopher G Fearon, DMD
• John Aaron Foote, PA
• Janice Fulton, RN

• Emergency Medicine Physician in Fort Richardson, AK
• Providers in Fort Richardson, AK by specialty
• Emergency Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.