Individual provider Active NPI

Daniel Peter Michalak, M.D.

  • Obstetrics & Gynecology Physician
  • Wilson, NC
National Provider Identifier
1841276540
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28063 Issued in NC
Practice address
2500 Horton Blvd SW
Wilson, NC 27893-4444
Phone
(252) 206-1000
Fax
(252) 237-7284
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28063 NC Primary

Addresses

Primary practice location

2500 Horton Blvd SW
Wilson, NC 27893-4444

Mailing address

2500 Horton Blvd SW
Wilson, NC 27893-4444
Phone (252) 206-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20120308000310 NC Practitioner - Obstetrics/Gynecology 9133216633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Hahneman Medical College of the Pacific, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Family Health Centers, Inc.Group PAC ID 6800841107, 29 clinicians

Practice addresses (Care Compare)

303 Green St E
Wilson, NC 27893-4105
Phone (252) 243-9800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28063NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Health Centers, Inc CurrentSince Mar 27, 2023 Accepting new patients
Carolina Family Health Centers, Inc CurrentSince Mar 27, 2023 Accepting new patients
Wilson OB/GYN, P.a. Obstetrics & Gynecology CurrentSince Sep 1, 1992 Accepting new patients
Carolina Family Health Centers, Inc Current Accepting new patients
Wilson Medical Center, Inc. PastSince Apr 30, 2003 Accepting new patients

Locations

8250 NC 58 S
Elm City, NC 27822
Phone (252) 443-7744

162 NC Highway 33 E
Tarboro, NC 27886
Phone (252) 641-0514

303 Green St E
Wilson, NC 27893
Phone (252) 243-9800

2500 Horton Blvd SW
Wilson, NC 27893
Phone (252) 206-1000

Interoperability endpoints

  • Direct secure messaging: dmichalak631073@direct.ochin.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1841276540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HORTON BLVD SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934444",
            "telephone_number": "252-206-1000",
            "fax_number": "252-237-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HORTON BLVD SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934444",
            "telephone_number": "252-206-1000",
            "fax_number": "252-237-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALAK",
        "first_name": "DANIEL",
        "middle_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "28063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.