Active NPI
Donna M Michel, MD
- Nephrology Physician
- Winchester, VA
National Provider Identifier
1679525315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 0101243934
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679525315 | Medicaid | VA | |
| 017899R03 | Other | VA | MEDICARE |
| 357927 | Other | VA | BLUE CROSS OF VA |
| P00665939 | Medicaid | WV |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-058017-L | PA | MD | Nephrology Physician |
| 0101243934 | VA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renal Physician Associates of Winchester PLC | Current | 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
- 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.
-
- Medical Specialty Clinic/Center
- Winchester, VA
- NPI 1528142577
-
- Nurse Practitioner
- Ashland, KY
- NPI 1215085170
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.