Michael James Carnathan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD450332 Issued in PA

Practice address

3101 Emrick Blvd
Suite 112
Bethlehem, PA 18020-8037

Phone

(610) 419-6426

Fax

(610) 438-6135

NPI assigned

Jun 25, 2009

Last updated

Sep 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 21, 2019 through May 21, 2027

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Medical Inc

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1609863828

  Family Medicine

  NPD

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1851529093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 EMRICK BLVD",
            "address_2": "SUITE 112",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208037",
            "telephone_number": "610-419-6426",
            "fax_number": "610-438-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 EMRICK BLVD",
            "address_2": "SUITE 112",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208037",
            "telephone_number": "610-419-6426",
            "fax_number": "610-438-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNATHAN",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD450332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102873639",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "324659LPS",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Careyva
• Hugh Carlin, MD
• Ian Morton Carlis, D.M.D
• Melissa M Carmody, OT
• Aldo Carmona, MD
• Renata Carneiro, PHD
• Kelly O'Shea Carney, PHD
• Gregory F Carolan, MD
• Gladys Carpenter, CRNP
• Irina Carr, CRNP

• Family Medicine Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.