NPIMap

Individual provider Active NPI

Michael J Bank, M.D.

  • Internal Medicine Physician
  • Carmel, NY
National Provider Identifier
1689614117
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234086 Issued in NY
Practice address
91 Gleneida Ave Ste a
Carmel, NY 10512-1222
Phone
(845) 228-7000
Fax
(845) 228-5485
NPI assigned
Jun 6, 2006
Last updated
Apr 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 219162 MA
Internal Medicine Physician 207R00000X 234086 NY Primary

Addresses

Primary practice location

91 Gleneida Ave Ste a
Carmel, NY 10512-1222

Mailing address

91 Gleneida Ave Ste a
Carmel, NY 10512-1222
Phone (845) 228-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000155 NY Practitioner - Internal MedicinePractitioner - Physical Medicine and Rehabilitation 0042204844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Physical Medicine and Rehabilitation
Education
Columbia University College of Physicians and Surgeons, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carmel Medical Care PCGroup PAC ID 0941590400, 3 clinicians

Practice addresses (Care Compare)

91 Gleneida Ave
Carmel, NY 10512-1244
Phone (845) 228-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219162MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Medical Care P.C. CurrentSince Apr 25, 2016 Accepting new patients
Gleneida Medical Care,PC Past Accepting new patients
Affiliated Medical Associates of Morristown, P.a. PastSince Oct 1, 1993 Accepting new patients
Bloomfield Total Health Center PastSince Aug 22, 2012 Accepting new patients
Hospital Medicine Associates of Morristown, P.a. Internal Medicine Past Accepting new patients
Travel Heath Consultants, LLC Past Accepting new patients
New Jersey Total Health Center Past Accepting new patients
Gleneida Medical Care,PC Past Accepting new patients

Locations

91 Gleneida Ave
Carmel, NY 10512
Phone (845) 228-7000

91 Gleneida Ave
Ste A
Carmel, NY 10512
Phone (845) 228-7000

Interoperability endpoints

  • Direct secure messaging: mbank@hiemail.healtheconnections.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1689614117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 GLENEIDA AVE STE A",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121222",
            "telephone_number": "845-228-7000",
            "fax_number": "845-228-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 GLENEIDA AVE STE A",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105121222",
            "telephone_number": "845-228-7000",
            "fax_number": "845-228-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "219162",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.