Michael E Pinchback, M.D.

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

44473 Issued in MN

Practice address

2076 Saint Anthony Ave
Saint Paul, MN 55104-4543

Phone

(651) 789-5031

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Our Lady of Peace

  • Hospice Registered Nurse
  • St Paul, MN
  • NPI 1871580530

  W-2 Managing Employee

  CMS ownership

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.

• Our Lady of Peace

  • Hospice Registered Nurse
  • St Paul, MN
  • NPI 1871580530

  Family Medicine

  Medicare reassignment NPD
• Our Lady of Peace

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Saint Paul, MN
  • NPI 1629857222
  NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1710074232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 OAKDALE AVENUE NORTH",
            "address_2": "#315",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222948",
            "telephone_number": "763-587-7900",
            "fax_number": "763-587-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 SAINT ANTHONY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044543",
            "telephone_number": "651-789-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCHBACK",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MN",
            "license": "44473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082235300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Louise Pilarski, MD
• Valerie Ann Pilgrim, PHARMD
• Amanda Beauchamp Pillai, DMD
• Kamalesh Muniraj Pillai, M.D.
• Suriyamurthy Mohan Pillai, M.D.
• Danielle Alysse Pinon, LPC
• Megan Pint, D.D.S.
• Raisa Marie Pinto, MBBS
• Pioneer Healing and Restoration Services Inc,
• Erin Elizabeth Piorier, CPM

• Hospice and Palliative Medicine (Family Medicine) Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.