NPIMap

Individual provider Active NPI

Michelle N Chesnut, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Dallas, TX
National Provider Identifier
1760411979
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
2004024746 Issued in MO
Practice address
8210 Walnut Hill LN
Suite 314
Dallas, TX 75231-4405
Phone
(214) 432-1616
Fax
(214) 432-1617
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2004024746 MO Primary
Pulmonary Disease Physician 207RP1001X 2004024746 MO

Addresses

Primary practice location

8210 Walnut Hill LN
Suite 314
Dallas, TX 75231-4405

Mailing address

8210 Walnut Hill LN
Suite 314
Dallas, TX 75231-4405
Phone (214) 432-1616

Other identifiers 1

IdentifierTypeStateIssuer
209382902MedicaidMO

Other names 1

  • Michelle N Lakey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081125000622 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4385696152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Texas Southwestern Medical School at Dallas, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8210 Walnut Hill LN
Suite 314
Dallas, TX 75231-4419
Phone (214) 432-1616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004024746MOMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Chesnut, MD, PA Pulmonary Disease CurrentSince Oct 10, 2008 Accepting new patients
Julye Nesbitt Carew, MD, PA Pulmonary Disease CurrentSince Oct 10, 2008 Accepting new patients
Emergency Physicians of St. Luke's, LLC Past Accepting new patients
Physician Specialists of St Lukes LLC Critical Care Medicine Past Accepting new patients
Critical Care Services, P.C. Critical Care Medicine Past Accepting new patients

Locations

8210 Walnut Hill Ln
Ste 314
Dallas, TX 75231
Phone (214) 363-8447

Interoperability endpoints

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

Organizations & group practices 5

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 2

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1760411979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN",
            "address_2": "SUITE 314",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314405",
            "telephone_number": "214-432-1616",
            "fax_number": "214-432-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN",
            "address_2": "SUITE 314",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314405",
            "telephone_number": "214-432-1616",
            "fax_number": "214-432-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESNUT",
        "first_name": "MICHELLE",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "2004024746",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2004024746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209382902",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LAKEY",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.