David P Michelin, MD
Individual provider Active NPI Gynecologic Oncology Physician · Traverse City, MI
NPI 1831180140 · NPPES record last updated Mar 15, 2021
Key facts
- NPI
- 1831180140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecologic Oncology Physician 207VX0201X
- License
- 4301056115 (MI)
- Practice address
- 217 S Madison Street
Traverse City, MI 49684-2320 - Phone
- (231) 392-8400
- Fax
- (231) 935-7888
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Gynecological Oncology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Munson Healthcare Cadillac
Practice addresses (Care Compare)
217 S Madison St
Traverse City, MI 49684-2321
Phone (231) 392-8400
Hospital & facility affiliations
- Munson Healthcare Cadillac Hospital
- Munson Medical Center
- Charlevoix Area Hospital
- Munson Healthcare Otsego Memorial Hospital
- Munson Healthcare Grayling Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 34 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20080501000049 | MI | Practitioner - Gynecological Oncology |
5496834541 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Cadillac | Current |
Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Medical Center | Current |
Accepting new patients | |
| Munson Medical Center | Current |
Accepting new patients | |
| Munson Healthcare Cadillac | Obstetrics & Gynecology | Current |
Accepting new patients |
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Past | Accepting new patients |
Locations
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
3782 Momentum Pl
Chicago, IL 60689
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400
315 N Division St
Ste 220
Traverse City, MI 49684
Phone (231) 935-0971
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Interoperability endpoints
- david.michelin@mhc.direct.varian.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 4301056115 | MI | Yes |
Addresses
Primary practice location
217 S Madison Street
Traverse City, MI 49684-2320
Mailing address
2513 Momentum PL
Chicago, IL 60689-5325
Phone (231) 935-6080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3476846 | Medicaid | MI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MMCGynOncology@mhc.direct.varian.com |
Other providers in Traverse City, MI
- Paula Susan Meyer
- Erin Dickson Meyers
- Mi Physical Medicine
- Michael C Hutchison PLLC
- Michael J Vanwagner DO PC
- Molly Nicole Michelli
- Michigan Medical Supply Inc
- Michigan Pelvic Rehab and Wellness L.L.C.
- James Christian Michutka
- Susan Mick
All providers in Traverse City, MI · Gynecologic Oncology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2021. 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.