Individual provider Active NPI

Michael R Towarnicky, MD

  • Internal Medicine Physician
  • Jacksonville, NC
National Provider Identifier
1740273242
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3598 Issued in NC
Practice address
4275 Western Blvd
Jacksonville, NC 28546-1100
Phone
(910) 938-3099
Fax
(910) 938-3243
NPI assigned
Aug 30, 2005
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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 3598 NC Primary

Addresses

Primary practice location

4275 Western Blvd
Jacksonville, NC 28546-1100

Mailing address

PO Box 896206
Charlotte, NC 28289-6206
Phone (252) 633-1010

Other identifiers 3

IdentifierTypeStateIssuer
7983651MedicaidNC
211019DOtherNCMEDICARE PTAN
83651OtherNCBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050603000553 NC Practitioner - Internal Medicine 2769425487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinaeast PhysiciansGroup PAC ID 0143378117, 203 clinicians
Craven CountyGroup PAC ID 3678626579, 4 clinicians

Practice addresses (Care Compare)

1001 Newman Rd
New Bern, NC 28562-5253
Phone (252) 635-6777

137 Medical LN
Pollocksville, NC 28573-8200
Phone (252) 633-1010

201 Williamsburg Pkwy
Jacksonville, NC 28546-6856
Phone (910) 353-4500

2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919

2636 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919

2818 Neuse Blvd
Suite 1
New Bern, NC 28562-2850

2818 Neuse Blvd
Suite 1
New Bern, NC 28562-2851
Phone (252) 636-4930

445 Western Blvd
Jacksonville, NC 28546-6845
Phone (252) 633-2712

508 US Hwy 70 W
Havelock, NC 28532-9510
Phone (252) 444-1533

532 Webb Blvd
Havelock, NC 28532-2042
Phone (252) 633-2712

906 WB McLean Blvd
Cape Carteret, NC 28584-9211
Phone (252) 393-9007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.61 of 100Reported as group
Quality
57.39
Promoting interoperability
68
Improvement activities
40
Cost
77.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3598NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians Internal Medicine Current Accepting new patients
Craven County CurrentSince Oct 1, 2011 Accepting new patients
Craven County CurrentSince Oct 1, 2011 Accepting new patients
Carolinaeast Physicians Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients
Carolinaeast Physicians CurrentSince Jan 1, 2011 Accepting new patients
Carolinaeast Physicians Internal Medicine Past Accepting new patients

Locations

508 US Highway 70 W
Havelock, NC 28532
Phone (252) 444-1533

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

4275 Western Blvd
Jacksonville, NC 28546
Phone (910) 938-3099

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

2818 Neuse Blvd
New Bern, NC 28562
Phone (252) 636-4920

2818 Neuse Blvd
Ste 1
New Bern, NC 28562
Phone (252) 636-4920

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

Interoperability endpoints

  • Direct secure messaging: mtowarnicky19466@carolinaeastmc.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1740273242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896206",
            "telephone_number": "252-633-1010",
            "fax_number": "252-224-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 WESTERN BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285461100",
            "telephone_number": "910-938-3099",
            "fax_number": "910-938-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWARNICKY",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "3598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7983651",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "211019D",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "83651",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.