Individual provider Active NPI

Michael Joseph Cirilli, MD

  • Internal Medicine Physician
  • Greenville, MS
National Provider Identifier
1669598561
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10254 Issued in MS
Practice address
1307 E Union
Doctors Lenoir & Cirilli PA
Greenville, MS 38703
Phone
(662) 335-3541
Fax
(662) 332-0331
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 10254 MS Primary

Addresses

Primary practice location

1307 E Union
Doctors Lenoir & Cirilli PA
Greenville, MS 38703

Mailing address

Box 5967
DRS Lenoir & Cirilli PA
Greenville, MS 38704-5967
Phone (662) 335-3541

Other identifiers 1

IdentifierTypeStateIssuer
0015848MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 28, 2023 through Nov 28, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10254MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Heart & Vascular Center, P.a. Past Accepting new patients

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669598561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 5967",
            "address_2": "DRS LENOIR & CIRILLI PA",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387045967",
            "telephone_number": "662-335-3541",
            "fax_number": "662-332-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E UNION",
            "address_2": "DOCTORS LENOIR & CIRILLI PA",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38703",
            "telephone_number": "662-335-3541",
            "fax_number": "662-332-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRILLI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "10254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015848",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.