Individual provider Active NPI

Robert M Michaels, MD

  • Rheumatology Physician
  • Binghamton, NY
National Provider Identifier
1851388417
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
1564461 Issued in NY
Practice address
33 Mitchell Ave
Ste 102
Binghamton, NY 13903-1674
Phone
(607) 762-3281
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 156446-1 NY
Rheumatology Physician 207RR0500X 1564461 NY Primary

Addresses

Primary practice location

33 Mitchell Ave
Ste 102
Binghamton, NY 13903-1674

Mailing address

346 Grand Ave
Johnson City, NY 13790-2558
Phone (607) 770-0025

Other identifiers 1

IdentifierTypeStateIssuer
00399037MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rmichaels854@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address rmichaels854@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20070925000196 WV Practitioner - RheumatologyPractitioner - Internal Medicine 5799879599 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156446-1NYMDInternal Medicine Physician
1564461NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Physicians Inc CurrentSince Jan 1, 2013 Accepting new patients
University Healthcare Physicians, Inc. Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

171 Taylor St
Harpers Ferry, WV 25425
Phone (304) 535-6343

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

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.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1851388417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GRAND AVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902558",
            "telephone_number": "607-770-0025",
            "fax_number": "607-729-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MITCHELL AVE",
            "address_2": "STE 102",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031674",
            "telephone_number": "607-762-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "156446-1",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "1564461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00399037",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmichaels854@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "171 Taylor St",
            "city": "Harpers Ferry",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254253641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmichaels854@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "171 Taylor St",
            "city": "Harpers Ferry",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254253641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.