Sam Idongesit Michael, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD.39065 Issued in AL

Practice address

12205 County Line Rd Ste D
Madison, AL 35758-7720

Phone

(938) 227-6307

NPI assigned

Apr 11, 2018

Last updated

Oct 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Morehouse School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HH Health System Crestwood Physicians, LLCGroup PAC ID 8628546397, 33 clinicians

Crestwood Physician Services, LLCGroup PAC ID 3476735648, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131
• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
• Athens Limestone Hospital Hospital, Athens, AL, CCN 010079

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3038/brand/1/csg/64/fhir/r4
• Direct secure messaging: sam.michael.1@3038.direct.athenahealth.com
• Direct secure messaging: sam.michael.2@3038.direct.athenahealth.com

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.

• Crestwood Physician Services, LLC

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1154622520
  Medicare reassignment Care Compare group NPD
• HH Health System Crestwood Physicians, LLC

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1487507117
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crestwood Healthcare LP

  dba Crestwood Medical Center

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1023061496
  Care Compare affiliation
• HH Health System - Athens Limestone, LLC

  dba Athens Limestone Hospital

  • General Acute Care Hospital
  • Athens, AL
  • NPI 1144695081
  Care Compare affiliation
• The Health Care Authority of the City of Huntsville

  dba Huntsville Hospital

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1699272062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-934-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 COUNTY LINE RD STE D",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587720",
            "telephone_number": "938-227-6307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-934-2490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "SAM",
        "middle_name": "IDONGESIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.39065",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "39065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Del Pilar Mercado, L.P.C.
• Rebekah Messer
• Metamorphosis Therapeutic Counseling, LLC
• Metro Realty Partners LLC (dba Xpress Care)
• Catherine Meyers
• Kimberly W Miller, M.D.
• Megan Miller, RBT
• Tracy Miller, LMSW
• Ryan Mills
• Jake Ryan Mimms, DMD

• Internal Medicine Physician in Madison, AL
• Providers in Madison, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.