Active NPI
Michelle Morris
- Internal Medicine Physician
- Springfield Gardens, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 295500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PC
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 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD22638 | ME | MD | Internal Medicine Physician |
| 295500 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
| New Shore Medical Health PC | Internal Medicine | Current | Accepting new patients |
| Back to Better Health | Internal Medicine | Current | Accepting new patients |
| Central Maine Medical Center | Current | Accepting new patients | |
| Central Maine Medical Center | Current | 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
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
- https://fhir4.healow.com/fhir/r4/JIBAED/Endpoint/JIBAED
- 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.
-
- Internal Medicine Physician
- Saint Albans, NY
- NPI 1922848316
Internal Medicine, NY
-
- Internal Medicine Physician
- Greenwich, CT
- NPI 1942526207
Internal Medicine, NY
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.