Individual provider Active NPI

Michael Flood, MD

  • Internal Medicine Physician
  • Oneida, WI
National Provider Identifier
1710079934
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
46511 Issued in WI
Practice address
525 Airport Dr
Oneida, WI 54155-9035
Phone
(920) 869-2711
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 46511 WI Primary

Addresses

Primary practice location

525 Airport Dr
Oneida, WI 54155-9035

Mailing address

PO Box 365
Oneida, WI 54155-0365
Phone (920) 869-2711

Other identifiers 1

IdentifierTypeStateIssuer
34531800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040824000242 WI Practitioner - Internal Medicine 4880668086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oneida NationGroup PAC ID 6800794074, 36 clinicians

Practice addresses (Care Compare)

525 Airport Dr
Oneida, WI 54155-9035
Phone (920) 869-2711

Hospital & facility affiliations

  • HSHS Home Care Wisconsin Home health agency, Green Bay, WI, CCN 527132
  • Unity Hospice Hospice, De Pere, WI, CCN 521503
  • Anna John Resident Centered Care Community Nursing home, Oneida, WI, CCN 525695

Merit-based Incentive Payment System (MIPS)

Final score
93.87 of 100Reported as group
Quality
76.81
Promoting interoperability
100
Improvement activities
40
Cost
86.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46511WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida Nation CurrentSince Dec 12, 2005 Accepting new patients
Coverdales-Hermann LTD Internal Medicine Past Accepting new patients
Oneida Nation Past Accepting new patients

Locations

525 Airport Dr
Oneida, WI 54155
Phone (920) 869-2711

Organizations & group practices 3

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 3

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1710079934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "ONEIDA",
            "state": "WI",
            "postal_code": "541550365",
            "telephone_number": "920-869-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 AIRPORT DR",
            "city": "ONEIDA",
            "state": "WI",
            "postal_code": "541559035",
            "telephone_number": "920-869-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOOD",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "46511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34531800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, WI

Sources for this page

Verify at the official NPI Registry.