Individual provider Active NPI

Michael Ralph Haag, DPM

  • Podiatrist
  • Wilmington, DE
National Provider Identifier
1831398015
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1-0000189 Issued in DE
Practice address
5311 Limestone Rd
Suite 203
Wilmington, DE 19808-1246
Phone
(302) 234-3907
Fax
(302) 234-3927
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006160 PA
Podiatrist 213E00000X 25MD000292400 NJ
Podiatrist 213E00000X E1-0000189 DE Primary

Addresses

Primary practice location

5311 Limestone Rd
Suite 203
Wilmington, DE 19808-1246

Mailing address

5311 Limestone Rd
Ste 200
Wilmington, DE 19808-1258
Phone (302) 239-1022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090924000457 DE Practitioner - Podiatry 4385790856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandywine Podiatry PAGroup PAC ID 5597700682, 8 clinicians

Practice addresses (Care Compare)

1010 N Bancroft Pkwy
Wilmington, DE 19805-2668
Phone (302) 658-1129

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as apm
Quality
81.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue31
Removal of skin lesions12
Removal of nail tissue2597
Removal or shaving of skin growth332
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD000292400NJMDPodiatrist
SC006160PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brandywine Podiatry, PA Podiatrist CurrentSince Aug 10, 2020 Accepting new patients
Brandywine Podiatry, PA Podiatrist CurrentSince Aug 10, 2020 Accepting new patients
G. Reid Conley, D.P.M., P.a. Podiatrist Past Accepting new patients

Locations

118 Sandhill Dr
Ste 204
Middletown, DE 19709
Phone (302) 378-1022

1010 N Bancroft Pkwy
Ste 12
Wilmington, DE 19805
Phone (302) 658-1129

5311 Limestone Rd
Ste 200
Wilmington, DE 19808
Phone (302) 239-1022

2106 Silverside Rd
Ste 201
Wilmington, DE 19810
Phone (302) 478-8099

Organizations & group practices 3

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 1

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1831398015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 LIMESTONE RD",
            "address_2": "STE 200",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081258",
            "telephone_number": "302-239-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 LIMESTONE RD",
            "address_2": "SUITE 203",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081246",
            "telephone_number": "302-234-3907",
            "fax_number": "302-234-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAG",
        "first_name": "MICHAEL",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006160",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD000292400",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E1-0000189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.