Michael Dane Palestine, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

9996 Issued in NM

Practice address

649 Harkle Rd Ste E
Santa Fe, NM 87505-4765

Phone

(505) 989-8200

Fax

(505) 989-8131

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

Yes

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 NM

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpalestine165407@direct.tmfhs.org

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.

• St Vincent Hospital

  • Pediatrics Physician
  • Santa Fe, NM
  • NPI 1063367803
  Medicare reassignment
• St Vincent Hospital

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150
  NPD
• St. Vincent Hospital

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1245438647
  NPD
• St. Vincent Hospital

  • General Practice Physician
  • Santa Fe, NM
  • NPI 1457618852
  NPD

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1811935208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 WILDERNESS WAY",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055945",
            "telephone_number": "505-984-8610",
            "fax_number": "505-984-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 HARKLE RD STE E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054765",
            "telephone_number": "505-989-8200",
            "fax_number": "505-989-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALESTINE",
        "first_name": "MICHAEL",
        "middle_name": "DANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NM",
            "license": "9996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71946",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittnee Page
• Stefanie Marie Page
• Autumn Pajarito
• Ivan Alexander Pale Hernandez
• Marcus L Palermo, DDS
• Vincent John Palladino, DC
• Leslie Palma
• Sheila M Palmer
• Zoe Palmer
• Beth Palmisano, M.D.

• Infectious Disease Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Infectious Disease Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.