Individual provider Active NPI

Donna M Michel, MD

  • Nephrology Physician
  • Winchester, VA
National Provider Identifier
1679525315
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101243934 Issued in VA
Practice address
812 Amherst St
Ste 201
Winchester, VA 22601-6452
Phone
(540) 450-1600
Fax
(540) 450-0166
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD-058017-L PA
Nephrology Physician 207RN0300X 0101243934 VA Primary

Addresses

Primary practice location

812 Amherst St
Ste 201
Winchester, VA 22601-6452

Mailing address

812 Amherst St
Ste 201
Winchester, VA 22601-6452
Phone (540) 450-1600

Other identifiers 4

IdentifierTypeStateIssuer
1679525315MedicaidVA
017899R03OtherVAMEDICARE
357927OtherVABLUE CROSS OF VA
P00665939MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080829000470 VA Practitioner - NephrologyPractitioner - Internal Medicine 9537053715 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-058017-LPAMDNephrology Physician
0101243934VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Physician Associates of Winchester PLC CurrentSince Aug 1, 2008 Accepting new patients
Tri State Nephrology PSC Past Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients

Locations

812 Amherst St
Ste 201
Winchester, VA 22601
Phone (540) 450-1600

Interoperability endpoints

  • Direct secure messaging: donnamichel@rpa.allscriptsdirect.net

Organizations & group practices 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1679525315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 AMHERST ST",
            "address_2": "STE 201",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016452",
            "telephone_number": "540-450-1600",
            "fax_number": "540-450-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 AMHERST ST",
            "address_2": "STE 201",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016452",
            "telephone_number": "540-450-1600",
            "fax_number": "540-450-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "DONNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD-058017-L",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101243934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679525315",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "017899R03",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF VA",
            "identifier": "357927",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P00665939",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.