Individual provider Active NPI

Michelle Morris

  • Internal Medicine Physician
  • Springfield Gardens, NY
National Provider Identifier
1891189015
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
295500 Issued in NY
Practice address
13421 Springfield Blvd
Springfield Gardens, NY 11413-1448
Phone
(718) 528-6377
Fax
(718) 949-4580
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD22638 ME
Internal Medicine Physician 207R00000X 70455 CT
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 295500 NY Primary

Addresses

Primary practice location

13421 Springfield Blvd
Springfield Gardens, NY 11413-1448

Mailing address

13421 Springfield Blvd
Springfield Gardens, NY 11413-1448
Phone (718) 528-6377

Other practice location 1

500 W Putnam Ave Ste 100
Greenwich, CT 06830-6079
Phone (203) 422-7250

Other practice location 2

12 High St Ste 400
Lewiston, ME 04240-7690
Phone (207) 795-5908

Other practice location 3

100 E 77th St
New York, NY 10075-1850
Phone (212) 434-2422

Other practice location 4

126 W 1st St
Mount Vernon, NY 10550-2917
Phone (718) 528-6377

Other practice location 5

905 Hanshaw Rd Ste C
Ithaca, NY 14850-1549
Phone (607) 277-2170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20191007002146 NY Practitioner - Internal Medicine 7416293964 Reassigns benefits to 2 organizations
Practice locations: Mount Vernon, NY; Saint Albans, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Shore Medical Health PCGroup PAC ID 3476091075, 2 clinicians

Practice addresses (Care Compare)

126 W 1St St
Apt 1
Mount Vernon, NY 10550-2917
Phone (717) 716-7107

13421 Springfield Blvd
Saint Albans, NY 11413-1448
Phone (717) 716-7107

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD22638MEMDInternal Medicine Physician
295500NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, PLLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
New Shore Medical Health PC Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Back to Better Health Internal Medicine Current Accepting new patients
Central Maine Medical Center CurrentSince Nov 6, 2018 Accepting new patients
Central Maine Medical Center CurrentSince Nov 6, 2018 Accepting new patients
Boston Children'S Health Physicians, LLP Past Accepting new patients

Locations

500 W Putnam Ave
Ste 100
Greenwich, CT 06830
Phone (203) 863-2900

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

12 High St
Ste 400
Lewiston, ME 04240
Phone (207) 795-5700

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

18 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 253-9252

13421 Springfield Blvd
Sprngfld Gdns, NY 11413
Phone (718) 528-6377

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIBAED/Endpoint/JIBAED
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1891189015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 SPRINGFIELD BLVD",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114131448",
            "telephone_number": "718-528-6377",
            "fax_number": "718-949-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13421 SPRINGFIELD BLVD",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114131448",
            "telephone_number": "718-528-6377",
            "fax_number": "718-949-4580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Putnam Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068306079",
            "country_code": "US",
            "telephone_number": "203-422-7250",
            "fax_number": "203-422-7251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 High St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042407690",
            "country_code": "US",
            "telephone_number": "207-795-5908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E 77th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751850",
            "country_code": "US",
            "telephone_number": "212-434-2422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "NY",
            "postal_code": "105502917",
            "country_code": "US",
            "telephone_number": "718-528-6377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Hanshaw Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148501549",
            "country_code": "US",
            "telephone_number": "607-277-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD22638",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "70455",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "295500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield Gardens, NY

Sources for this page

Verify at the official NPI Registry.