Michael A Reale, M.D., PHD

Primary specialty

SpecialistTaxonomy code 174400000X

License

030634 Issued in CT

Practice address

100 Haynes St
2ND Floor
Manchester, CT 06040-4113

Phone

(860) 646-0670

Fax

(860) 643-9388

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Merit-based Incentive Payment System (MIPS)

Final score

80.53 of 100Reported as group

Quality

50.37

Promoting interoperability

100

Improvement activities

40

Cost

70.22

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.prod.flatiron.io/fhir/

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.

• Regional Cancer Care Associates LLC

  • Medical Oncology Physician
  • Manchester, CT
  • NPI 1033667845
  Medicare reassignment NPD
• Regional Cancer Care Associates LLC

  • Hematology & Oncology Physician
  • Belleville, NJ
  • NPI 1447315502
  NPD

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1992774434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAYNES ST",
            "address_2": "2ND FLOOR",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404113",
            "telephone_number": "860-646-0670",
            "fax_number": "860-643-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAYNES ST",
            "address_2": "2ND FLOOR",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404113",
            "telephone_number": "860-646-0670",
            "fax_number": "860-643-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "030634",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "030634",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001306340",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Ranson
• Markos Raptis, DMD, MPH
• Anna Ravin, DDS
• Reginald Winfield Raynor III, M.D.
• Sara Read, PA-C
• Realms of Life Counseling
• Catherine Reckmeyer
• Rajitha Reddy
• Uday Reddy, MD
• Usha Reddy, M.D.

• Specialist in Manchester, CT
• Providers in Manchester, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.

Verify at the official NPI Registry.