NPIMap

Individual provider Active NPI

Bonnie A McMichael, M.D.

  • Internal Medicine Physician
  • Williamsville, NY
National Provider Identifier
1881692267
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
191409 Issued in NY
Practice address
61 Maple Rd
Williamsville, NY 14221-2918
Phone
(716) 565-1234
Fax
(716) 565-1246
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 191409 NY Primary

Addresses

Primary practice location

61 Maple Rd
Williamsville, NY 14221-2918

Mailing address

61 Maple Rd
Williamsville, NY 14221-2918
Phone (716) 565-1234

Other identifiers 4

IdentifierTypeStateIssuer
0407784OtherNYIHA
000523966004OtherNYBCBS OF WNY
01843145MedicaidNY
00010115603OtherNYUNIVERA/EXCELLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040311001111 NY Practitioner - Internal Medicine 9931098654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Physician, P.C.Group PAC ID 0042249328, 12 clinicians

Practice addresses (Care Compare)

61 Maple Rd
Williamsville, NY 14221-2918
Phone (716) 565-1234

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
191409NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Physician, P.C. Internal Medicine CurrentSince Feb 26, 2018 Accepting new patients
Forest Medical Group, PLLC Internal Medicine Past Accepting new patients
Northtowns Imaging PC PastSince Feb 26, 2018 Accepting new patients
University at Buffalo Surgeons Inc Past Accepting new patients

Locations

61 Maple Rd
Williamsville, NY 14221
Phone (716) 565-1234

Interoperability endpoints

  • Direct secure messaging: bmcmichael@familycarephysicians.medentdirect.com

Organizations & group practices 4

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 10

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1881692267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212918",
            "telephone_number": "716-565-1234",
            "fax_number": "716-565-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212918",
            "telephone_number": "716-565-1234",
            "fax_number": "716-565-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMICHAEL",
        "first_name": "BONNIE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "191409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0407784",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WNY",
            "identifier": "000523966004",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01843145",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA/EXCELLUS",
            "identifier": "00010115603",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.