NPIMap

Individual provider Active NPI

Thomas Erik Michaelson, M.D.

  • Infectious Disease Physician
  • Southampton, PA
National Provider Identifier
1881668879
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD062751L Issued in PA
Practice address
Infectious Diseases Associates PC
729 Grove Ave Unit 4
Southampton, PA 18966-6008
Phone
(215) 355-9634
Fax
(215) 357-7540
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD062751L PA Primary

Addresses

Primary practice location

Infectious Diseases Associates PC
729 Grove Ave Unit 4
Southampton, PA 18966-6008

Mailing address

Infectious Diseases Associates, P.C.
729 Grove Ave. Suite 4
Southampton, PA 18966-6008
Phone (215) 355-9634

Other identifiers 1

IdentifierTypeStateIssuer
0017584150001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ThomasEric.Michaelson@infectiousdiseaseassocpc.chartmaker.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000238 PA Practitioner - Infectious DiseasePractitioner - Internal Medicine 1658372446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Diseases Associates PCGroup PAC ID 0648166314, 9 clinicians

Practice addresses (Care Compare)

729 Grove Ave
Unit 4
Southampton, PA 18966-6008
Phone 21535596348

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.46 of 100Reported as group
Quality
86.67
Improvement activities
40
Cost
79.3

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: thomaseric.michaelson@infectiousdiseaseassocpc.chartmaker.com
  • Direct secure messaging: thomaseric.michaelson@infectiousdiseaseassocpc.chartmakerdirect.com
  • Direct secure messaging: drmichaelson@ida.azalea.phimailbox.com

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.

Hospital & facility affiliations 11

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1881668879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INFECTIOUS DISEASES ASSOCIATES, P.C.",
            "address_2": "729 GROVE AVE. SUITE 4",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189666008",
            "telephone_number": "215-355-9634",
            "fax_number": "215-357-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INFECTIOUS DISEASES ASSOCIATES PC",
            "address_2": "729 GROVE AVE UNIT 4",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189666008",
            "telephone_number": "215-355-9634",
            "fax_number": "215-357-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELSON",
        "first_name": "THOMAS",
        "middle_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD062751L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017584150001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ThomasEric.Michaelson@infectiousdiseaseassocpc.chartmaker.com",
            "affiliation": "N",
            "endpointDescription": "Infectious Diseases Associates PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": ".xml",
            "address_1": "Infectious Diseases Associates PC",
            "address_2": "729 Grove Ave Unit 4",
            "city": "Southampton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189666008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.