NPIMap

Individual provider Active NPI

Michael Raichel, DO

  • Family Medicine Physician
  • Hazard, KY
National Provider Identifier
1932270006
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02898 Issued in KY
Practice address
210 Black Gold Blvd Ste 106
Hazard, KY 41701-2620
Phone
(606) 436-0711
Fax
(606) 436-0848
NPI assigned
Nov 12, 2006
Last updated
May 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02898 KY Primary

Addresses

Primary practice location

210 Black Gold Blvd Ste 106
Hazard, KY 41701-2620

Mailing address

PO Box 959
Hazard, KY 41702-0959
Phone (606) 436-0711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050830000887 KY Practitioner - Family Practice 3173411170 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Healthcare Associates of Cumberland, IncGroup PAC ID 0345403424, 8 clinicians
Mountain After Hours Clinic PSCGroup PAC ID 0547170102, 31 clinicians
Kentucky Mountain Health Alliance, Inc.Group PAC ID 8123112687, 20 clinicians

Practice addresses (Care Compare)

103 Kingdom Come Dr
Cumberland, KY 40823-1590
Phone (606) 589-5514

1908 N Main St
Suite 120
Hazard, KY 41701-2503
Phone (606) 439-2662

210 Black Gold Blvd
Suite 106
Hazard, KY 41701-2620
Phone (606) 436-0711

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Mountain Health Alliance, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Quantum Healthcare Associates of Cumberland, Inc Family Medicine CurrentSince Apr 23, 2012 Accepting new patients
Mountain After Hours Clinic PSC CurrentSince May 16, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Oct 4, 2014 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Oct 4, 2014 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Kentucky Medical Services Foundation, Inc Family Medicine Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Hazard Nursing Home, Inc. Past Accepting new patients

Locations

103 Kingdom Come Dr
Cumberland, KY 40823
Phone (606) 589-5514

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

210 Black Gold Blvd
Hazard, KY 41701
Phone (606) 436-0711

210 Black Gold Blvd
Ste 106
Hazard, KY 41701
Phone (606) 436-0711

1908 N Main St
Ste 120
Hazard, KY 41701

279 E Main St
Hazard, KY 41701
Phone (606) 487-0107

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIEDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIEDDD
  • Direct secure messaging: michael.raichel.p1@direct.kymha.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Letcher ManorWhitesburg, KY, CCN 185200 Skilled nursing facility Adp of the SNF Sep 1, 2021
Mountain After Hours Clinic PSCHazard, KY, CCN 183857 Rural health clinic 5% Or Greater Direct Ownership Interest (25%)
Corporate Officer (25%)
Corporate Director (25%)
Operational/Managerial Control (25%)		 May 4, 2022
May 4, 2022
May 4, 2022
May 4, 2022
Quantum Healthcare Associates of Cumberland, IncCumberland, KY, CCN 188920 Rural health clinic 5% Or Greater Direct Ownership Interest (25%)
Corporate Officer (25%)
Corporate Director (25%)		 Oct 18, 2011
Oct 18, 2011
Oct 18, 2011

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 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": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1932270006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417020959",
            "telephone_number": "606-436-0711",
            "fax_number": "606-435-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BLACK GOLD BLVD STE 106",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012620",
            "telephone_number": "606-436-0711",
            "fax_number": "606-436-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAICHEL",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.