Active NPI
Michael Bruce Polsky, M.D.
- Sleep Medicine (Internal Medicine) Physician
- North Chesterfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 0101241502
- Practice address
- 1000 Boulders Pkwy Ste 101
North Chesterfield, VA 23225-5515 - Phone
- (804) 320-4243
- Fax
- (804) 622-0552
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0101241502 | VA | |
| Pulmonary Disease Physician | 207RP1001X | 0101241502 | VA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 0101241502 | VA | Primary |
Addresses
Primary practice location
1000 Boulders Pkwy Ste 101
North Chesterfield, VA 23225-5515
Mailing address
1000 Boulders Pkwy
Suite 102
Richmond, VA 23225-5545
Phone (804) 320-4243
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72774 | Other | VA | SOUTHERN HEALTH CARENET |
| 7928840 | Other | VA | AETNA NON-HMO |
| 0685804 | Other | VA | CIGNA |
| 1493245 | Other | VA | AETNA HMO |
| 1992816706 | Medicaid | VA | |
| 296430 | Other | VA | ANTHEM |
| 632061 | Other | VA | SOUTHERN HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michaelpolsky@par.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- University of Florida College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Boulders Pkwy
North Chesterfield, VA 23225-5515
13551 Waterford PL
Midlothian, VA 23112-3929
Phone (804) 320-4243
2025 Waterside Rd
Prince George, VA 23875-1266
Phone (804) 320-4243
2354 Colony Crossing PL
Midlothian, VA 23112-4280
Phone (804) 639-9910
7486 Right Flank Rd
Suite 100
Mechanicsville, VA 23116-3834
Phone (804) 320-4243
Hospital & facility affiliations
- Medical College of Virginia Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.54 of 100
- Quality
- 71.96
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101241502 | VA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Associates of Richmond Inc | Current | Accepting new patients | |
| Commonwealth Infectious Diseases, LLC | Past | Accepting new patients |
Locations
2354 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 288-6261
1000 Boulders Pkwy
Ste 101
North Chesterfield, VA 23225
Phone (804) 320-4341
1000 Boulders Pkwy
Ste 102
North Chesterfield, VA 23225
Phone (804) 591-3134
1000 Boulders Pkwy
Ste 201
North Chesterfield, VA 23225
Phone (804) 591-3134
1000 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 601-0609
2025 Waterside Rd
Prince George, VA 23875
Interoperability endpoints
- michaelpolsky@par.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Specialist
- Richmond, VA
- NPI 1144253444
-
- Infectious Disease Physician
- Midlothian, VA
- NPI 1972833788
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1992816706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BOULDERS PKWY",
"address_2": "SUITE 102",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232255545",
"telephone_number": "804-320-4243",
"fax_number": "804-282-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BOULDERS PKWY STE 101",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232255515",
"telephone_number": "804-320-4243",
"fax_number": "804-622-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLSKY",
"first_name": "MICHAEL",
"middle_name": "BRUCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "VA",
"license": "0101241502",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101241502",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "VA",
"license": "0101241502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH CARENET",
"identifier": "72774",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON-HMO",
"identifier": "7928840",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0685804",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1493245",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992816706",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "296430",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "632061",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michaelpolsky@par.allscriptsdirect.net",
"affiliation": "N",
"address_1": "1000 Boulders Pkwy Ste 101",
"city": "North Chesterfield",
"state": "VA",
"country_code": "US",
"postal_code": "232255515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.