Monica Michelotti

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD171473 Issued in OR

Practice address

2450 12TH St SE
Salem, OR 97302

Phone

(503) 371-4350

Fax

(503) 371-1124

NPI assigned

Apr 4, 2011

Last updated

Mar 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Ophthalmology

Education

University of Michigan Medical School, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Consultants LLPGroup PAC ID 0941271886, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salem Hospital Hospital, Salem, OR, CCN 380051

Merit-based Incentive Payment System (MIPS)

Final score

92.88 of 100Reported as group

Quality

91.79

Promoting interoperability

87

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mmichelottimd91424@direct.ohsu.edu
• Direct secure messaging: monica.michelotti.p55@direct.wvp.nextgenshare.com

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.

• Retina Consultants, LLP

  dba Retina Consultants, LLC

  • Ophthalmology Physician
  • Salem, OR
  • NPI 1528181674
  Medicare reassignment Care Compare group NPD
• Teplick Laser Surgery Centers

  • Specialist
  • Beaverton, OR
  • NPI 1851421085
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Care Compare affiliation

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1871882456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022152",
            "telephone_number": "503-371-4350",
            "fax_number": "503-371-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-371-4350",
            "fax_number": "503-371-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELOTTI",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD171473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "monica.michelotti.p55@direct.wvp.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2450 12th St SE",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael P Beaver LCSW Inc
• Michael W Kelber MD PC
• Grace Diane Michael
• Michaela Grillo LLC
• Rodney Douglas Michaels, MD
• Geary Joe Michels, D.C.
• Connie Jo Mickelson, RD, LD
• Ryan Amos Mickelson, PHARMD, BCPS
• Sean Alexander Mickelson, MS, LPC
• Micronesian Islander Community

• Ophthalmology Physician in Salem, OR
• Providers in Salem, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.