Michael Pribula, DO
Individual provider Active NPI Family Medicine Physician · Minerva, OH
NPI 1750910147 · NPPES record last updated Jun 27, 2023
Key facts
- NPI
- 1750910147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 00000000000000000000 (OH)
- Practice address
- 1028 E Lincolnway
Minerva, OH 44657-1216 - Phone
- (330) 868-6044
- NPI assigned
- Apr 7, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pioneer Physicians Network Inc
Practice addresses (Care Compare)
1028 E Lincolnway
Minerva, OH 44657-1216
Phone (330) 868-6044
Hospital & facility affiliations
- Aultman Hospital
- Mercy Medical Center
- Alliance Community Hospital
- Aultman Orrville Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230920002855 | OH | Practitioner - Family Practice | 9537582127 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000000000000000 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Physicians Network Inc | Family Medicine | Current |
Accepting new patients |
| Pioneer Physicians Network, Inc. | Family Medicine | Current |
Accepting new patients |
Locations
1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685
3515 Massillon Rd
Ste 300
Green, OH 44685
Phone (234) 271-3353
1028 E Lincolnway
Minerva, OH 44657
Phone (330) 868-6044
3300 Greenwich Rd
Unit 8
Norton, OH 44203
Phone (330) 825-7371
65 Community Rd
Ste F
Tallmadge, OH 44278
Phone (330) 633-3680
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBBCAA
- michael.pribula@ppn.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00000000000000000000 | OH | Yes |
Addresses
Primary practice location
1028 E Lincolnway
Minerva, OH 44657-1216
Mailing address
1028 E Lincolnway
Minerva, OH 44657-1216
Phone (330) 868-6044
Other providers in Minerva, OH
- Kelly Plottner
- Amanda Preas
- Premier Health Associates Inc
- Angela M Prendergast
- Debora Jean Prendergast
- Quest Recovery and Prevention Services, Inc.
- Rath Optometry LLC
- Ted A Rath
- Reaach, LLC
- Return to Wellness LLC
All providers in Minerva, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.