Active NPI
James P Michaels, MD
- Physical Medicine & Rehabilitation Physician
- Tyler, TX
National Provider Identifier
1881617611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- K0525
- Practice address
- 3414 Golden Rd
Tyler, TX 75701-8336 - Phone
- (903) 939-7500
- Fax
- (800) 248-0426
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | K0525 | TX | Primary |
Addresses
Primary practice location
3414 Golden Rd
Tyler, TX 75701-8336
Mailing address
3414 Golden Rd
Tyler, TX 75701-8336
Phone (903) 939-7500
Other practice location 1
925 W Loop 281
Longview, TX 75604-2918
Phone (903) 939-7500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049KV | Other | TX | BLUE CROSS GROUP # |
| 200227003 | Other | TX | TAX ID # |
| DB0396 | Other | TX | RAILROAD MEDICARE GROUP |
| 165794201 | Medicaid | TX | |
| N0097455 | Other | TX | DPS # |
| P00083929 | Other | TX | RAILROAD MEDICARE INDIVIDUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claire Tibiletti MD PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Interventional Pain Medicine Physician
- Tyler, TX
- NPI 1992922033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666483200000",
"number": "1881617611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 GOLDEN RD",
"city": "TYLER",
"state": "TX",
"postal_code": "757018336",
"telephone_number": "903-939-7500",
"fax_number": "800-248-0426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 GOLDEN RD",
"city": "TYLER",
"state": "TX",
"postal_code": "757018336",
"telephone_number": "903-939-7500",
"fax_number": "800-248-0426"
}
],
"practiceLocations": [
{
"address_1": "925 W Loop 281",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756042918",
"country_code": "US",
"telephone_number": "903-939-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHAELS",
"first_name": "JAMES",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2022-10-23",
"certification_date": "2022-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "K0525",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP #",
"identifier": "0049KV",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "200227003",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "DB0396",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165794201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS #",
"identifier": "N0097455",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE INDIVIDUAL",
"identifier": "P00083929",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.