Individual provider Active NPI

Michael P Byrne, MD

  • Family Medicine Physician
  • Kinston, NC
National Provider Identifier
1881622801
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200201056 Issued in NC
Practice address
324 N Queen St
Kinston, NC 28501-4932
Phone
(252) 522-9800
Fax
(252) 523-9790
NPI assigned
Jun 29, 2006
Last updated
Jul 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33365 WI
Family Medicine Physician 207Q00000X 200201056 NC Primary

Addresses

Primary practice location

324 N Queen St
Kinston, NC 28501-4932

Mailing address

930 E Wall St
Eagle River, WI 54521-9368
Phone (715) 477-3000

Other practice location 1

930 E Wall St
Eagle River, WI 54521-9368
Phone (715) 477-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NC2 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
I20040615000401 WI Practitioner - Family Practice 6507840956 Reassigns benefits to 5 organizations
I20200610001808 NC Practitioner - Family Practice 6507840956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

395 W 27TH St
Lumberton, NC 28358-3018
Phone (910) 739-7551

730 Oakridge Blvd
Lumberton, NC 28358-2324
Phone (910) 738-2662

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200201056NCMDFamily Medicine Physician
33365WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Jun 28, 2021 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Southeastern Regional Physician Services CurrentSince Dec 5, 2023 Accepting new patients
Southeastern Regional Physician Services CurrentSince Dec 5, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Southeastern Regional Physician Services Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 28, 2021 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Jan 10, 2022 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Family Medicine CurrentSince Jan 10, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Jun 28, 2021 Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

930 E Wall St
Eagle River, WI 54521
Phone (715) 477-3000

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: mbyrne1109688@direct.unc.nchie.net
  • Direct secure messaging: mbyrne622826@direct.emplifyhealth.org
  • Direct secure messaging: michael.byrne.1@9600.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1881622801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E WALL ST",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545219368",
            "telephone_number": "715-477-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014932",
            "telephone_number": "252-522-9800",
            "fax_number": "252-523-9790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 E Wall St",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "WI",
            "postal_code": "545219368",
            "country_code": "US",
            "telephone_number": "715-477-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "33365",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200201056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.