Michael K McLean, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

01070187A Issued in IN

Practice address

901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521

Phone

(812) 473-2642

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, IN, CO, TN4 enrollments

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 4

Specialty

Thoracic SurgeryAlso: Cardiac Surgery, Vascular Surgery

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intermountain Medical Group Grand Junction, LLCGroup PAC ID 3779707856, 297 clinicians

Shasta Regional Medical Group IncGroup PAC ID 5991861353, 32 clinicians

Chattanooga Diagnostic Associates LLCGroup PAC ID 9739272519, 27 clinicians

McLean Medical Clinic IncGroup PAC ID 8628590312, 2 clinicians

Michael K McLean MD IncGroup PAC ID 2365698305, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
• Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
• Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mmclean662343@direct.bsmhealth.org
• Direct secure messaging: michael.mclean.p3@direct.smmg.nextgenshare.com

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.

• McLean Medical Clinic Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Van Nuys, CA
  • NPI 1588479216
  Medicare reassignment Care Compare group NPD Authorized official
• Michael K McLean MD Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Los Angeles, CA
  • NPI 1174898126
  Medicare reassignment Care Compare group NPD Authorized official
• McLean Medical Group Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • N. Hollywood, CA
  • NPI 1184446361
  Medicare reassignment NPD Authorized official
• Chattanooga Diagnostic Associates LLC

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1679772099
  Medicare reassignment Care Compare group
• Intermountain Medical Group Grand Junction, LLC

  • Orthopaedic Surgery Physician
  • Grand Junction, CO
  • NPI 1356765556
  Medicare reassignment Care Compare group
• Shasta Regional Medical Group Inc

  • Hospitalist Physician
  • Redding, CA
  • NPI 1396990545
  Medicare reassignment Care Compare group
• Kaweah Delta Health Care District

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1326704529
  Medicare reassignment NPD
• St Mary'S Medical Group, LLC

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1164852539
  Medicare reassignment
• Intermountain Medical Group Grand Junction, LLC

  • Hematology & Oncology Physician
  • Grand Junction, CO
  • NPI 1811501307
  NPD
• Kaweah Delta Health Care District

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1447016050
  NPD
• Kaweah Delta Health Care District

  • Multi-Specialty Clinic/Center
  • Visalia, CA
  • NPI 1740688894

  Orthopaedic Surgery

  NPD
• Orna Gil MD Inc

  • Obstetrics & Gynecology Physician
  • Redding, CA
  • NPI 1588134423
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Parkridge Medical Center, Inc.

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1104874684
  Care Compare affiliation
• Prime Healthcare Services - Shasta LLC

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1205089026
  Care Compare affiliation
• St Mary'S Hospital and Medical Center, Inc

  • Ambulance
  • Grand Junction, CO
  • NPI 1164060877

  Hospital

  Care Compare affiliation
• St Mary'S Hospital and Medical Center, Inc

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1619742806
  Care Compare affiliation
• St Mary'S Hospital and Medical Center, Inc

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1821647801
  Care Compare affiliation
• St. Mary'S Hospital and Medical Center, Inc.

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1699716027
  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1831276468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SAINT MARYS DR STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SAINT MARYS DR STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140521",
            "telephone_number": "812-473-2642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 W College St Ste 560",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900121285",
            "country_code": "US",
            "telephone_number": "213-628-3592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2339 McCallie Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374043209",
            "country_code": "US",
            "telephone_number": "423-698-2435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A96165",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036-128970",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TN",
            "license": "66594",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01070187A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A96165",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.mclean.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "901 Saint Marys Dr Ste 300",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Summer McIntyre
• Jessica Marie McKeethen
• Raven McKinley, RBT
• Jessica McKinney, PHYSICIAN ASSISTANT
• Anne P McLaughlin, MD
• Scott McMillen, P.A.
• Christopher McMullin, D.O.
• Amanda McMurtry, CCC-SLP
• Raw'Nesha McNary
• Vicki L McNeill, NP

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.