NPIMap

Individual provider Active NPI

Michael R Seals, M.D. /P.A.

  • Neurology Physician
  • Plano, TX
National Provider Identifier
1689677056
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J3901 Issued in TX
Practice address
6130 W Parker Rd
Mob 1 Ste 103
Plano, TX 75093-7901
Phone
(972) 473-0190
Fax
(972) 473-2257
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J3901 TX Primary

Addresses

Primary practice location

6130 W Parker Rd
Mob 1 Ste 103
Plano, TX 75093-7901

Mailing address

PO Box 117536
Atlanta, GA 30368-7536
Phone (615) 346-8182

Other practice location 1

1819 Jay Ell Dr Ste 100
Richardson, TX 75081-2064
Phone (888) 344-2947

Other identifiers 3

IdentifierTypeStateIssuer
88E756OtherTXBCBS
P00088533OtherTXRR MEDICARE
124496405MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050922000907 TX Practitioner - Neurology 3072584978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Mississippi School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Neurophysiological AssessmentGroup PAC ID 1355618497, 3 clinicians

Practice addresses (Care Compare)

6130 W Parker Rd
Mob 1 Suite 103
Plano, TX 75093-7901
Phone (972) 965-3855

6130 W Parker Rd
Suite 103
Plano, TX 75093-7910
Phone (888) 344-2947

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R Seals MD, PA Neurology CurrentSince May 1, 2003 Accepting new patients
Axis Neuromonitoring CurrentSince Aug 26, 2020 Accepting new patients
Atlas Neurophysiological Assessment CurrentSince Nov 1, 2017 Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients
Advanced Microsurgery of the Spine, P.a. Past Accepting new patients

Locations

6130 W Parker Rd
Ste 103
Plano, TX 75093
Phone (214) 361-2300

1819 Jay Ell Dr
Ste 100
Richardson, TX 75081

Organizations & group practices 5

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 6

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1689677056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117536",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687536",
            "telephone_number": "615-346-8182",
            "fax_number": "615-829-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 W PARKER RD",
            "address_2": "MOB 1 STE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937901",
            "telephone_number": "972-473-0190",
            "fax_number": "972-473-2257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1819 Jay Ell Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750812064",
            "country_code": "US",
            "telephone_number": "888-344-2947",
            "fax_number": "888-694-2947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEALS",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D. /P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J3901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88E756",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00088533",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124496405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.