Individual provider Active NPI

Donald Michel

  • Obstetrics & Gynecology Physician
  • Bronx, NY
National Provider Identifier
1861533572
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
250730 Issued in NY
Practice address
3050 White Plains Rd
Bronx, NY 10467-8154
Phone
(929) 248-3000
Fax
(929) 248-3100
NPI assigned
Feb 8, 2007
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P42440 NY
Obstetrics & Gynecology Physician 207V00000X ME105457 FL
Obstetrics & Gynecology Physician 207V00000X 250730 NY Primary

Addresses

Primary practice location

3050 White Plains Rd
Bronx, NY 10467-8154

Mailing address

3050 White Plains Rd
Bronx, NY 10467-8154
Phone (929) 248-3000

Other identifiers 1

IdentifierTypeStateIssuer
001388900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20131101001071 FL Practitioner - Obstetrics/Gynecology 0345492732 Reassigns benefits to 1 organization
I20250122001638 NJ Practitioner - Obstetrics/Gynecology 0345492732 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250730NYMDObstetrics & Gynecology Physician
P42440NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Medical Center, Inc CurrentSince Jul 7, 2014 Accepting new patients
Neighborhood Medical Center, Inc CurrentSince Jul 7, 2014 Accepting new patients
Omega Physicians LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

604 E 5th Ave
Havana, FL 32333
Phone (850) 224-2469

438 W Brevard St
Tallahassee, FL 32301
Phone (850) 224-2469

103 Old Marlton Pike
Ste 124
Medford, NJ 08055
Phone (856) 387-0500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15524/brand/3/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1861533572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678154",
            "telephone_number": "929-248-3000",
            "fax_number": "929-248-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678154",
            "telephone_number": "929-248-3000",
            "fax_number": "929-248-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "P42440",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME105457",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "250730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001388900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.