Individual provider Active NPI

Michelle Roxanne Fincham

  • Otolaryngology Physician
  • Manhattan, KS
National Provider Identifier
1669739678
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
04-40075 Issued in KS
Practice address
4201 Anderson Ave
Manhattan, KS 66503-7602
Phone
(785) 539-3504
Fax
(785) 539-7430
NPI assigned
Apr 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X 04-40075 KS Primary

Addresses

Primary practice location

4201 Anderson Ave
Manhattan, KS 66503-7602

Mailing address

4201 Anderson Ave Ste C
Manhattan, KS 66503-7603

Other practice location 1

3435 Main St
117 Cary Hall
Buffalo, NY 14214-3001
Phone (716) 829-6128

Other names 1

  • Michelle Roxanne Tilley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20171011002548 KS Practitioner - Otolaryngology 5991070393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Kansas School of Med (KC/Wich/Sal), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire ENT and Pulmonology PAGroup PAC ID 2466405568, 12 clinicians

Practice addresses (Care Compare)

4201 Anderson Ave
Suite C
Manhattan, KS 66503-7603
Phone (785) 539-3504

Hospital & facility affiliations

  • Manhattan Surgical Hospital LLC Hospital, Manhattan, KS, CCN 170190
  • Ascension Via Christi Hospital Manhattan, Inc Hospital, Manhattan, KS, CCN 170142
  • Salina Regional Health Center Hospital, Salina, KS, CCN 170012
  • Wamego Health Center Hospital, Wamego, KS, CCN 171337
  • Salina Surgical Hospital Hospital, Salina, KS, CCN 170187

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Skin biopsy1-10

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: michellefincham@northeastk.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Manhattan Surgical HospitalManhattan, KS, CCN 170190 Hospital General Partnership Interest Oct 24, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 5

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669739678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 ANDERSON AVE STE C",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ANDERSON AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037602",
            "telephone_number": "785-539-3504",
            "fax_number": "785-539-7430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3435 Main St",
            "address_2": "117 Cary Hall",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142143001",
            "country_code": "US",
            "telephone_number": "716-829-6128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINCHAM",
        "first_name": "MICHELLE",
        "middle_name": "ROXANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "04-40075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "TILLEY",
            "middle_name": "ROXANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.