Individual provider Active NPI

Michael Joseph Pallaci, DO

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1700814035
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.007623 Issued in OH
Practice address
111 S Grant Ave
Columbus, OH 43215-4701
Phone
(614) 461-3232
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.007623 OH Primary

Addresses

Primary practice location

111 S Grant Ave
Columbus, OH 43215-4701

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-7500

Other identifiers 1

IdentifierTypeStateIssuer
2283014MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20091202000505 OH Practitioner - Emergency Medicine 0840339909 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.51
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Dec 2, 2019 Accepting new patients
Hles of Ohio, Inc. Emergency Medicine CurrentSince May 22, 2020 Accepting new patients
Emergency Medicine Physicians of Cuyahoga County, LTD Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
River Valley Physicians, LLC CurrentSince Oct 17, 2024 Accepting new patients
Mahoning Valley Emergency Specialists LLC Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince May 22, 2020 Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients
Mid-Ohio Emergency Services, LLC Emergency Medicine Past Accepting new patients

Locations

141 N Forge St
Akron, OH 44304
Phone (330) 375-3361

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

15655 State Route 170
Ste H
East Liverpool, OH 43920
Phone (330) 932-0183

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

15655 State Route 170
Ste B
East Liverpool, OH 43920
Phone (330) 386-3610

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1700814035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154701",
            "telephone_number": "614-461-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "272 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456019031",
            "country_code": "US",
            "telephone_number": "740-779-7500",
            "fax_number": "740-779-7934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALLACI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.007623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2283014",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.