Individual provider Active NPI

Michael Bruce Polsky, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • North Chesterfield, VA
National Provider Identifier
1992816706
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
0101241502 Issued in VA
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

Updated by the provider on May 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
72774OtherVASOUTHERN HEALTH CARENET
7928840OtherVAAETNA NON-HMO
0685804OtherVACIGNA
1493245OtherVAAETNA HMO
1992816706MedicaidVA
296430OtherVAANTHEM
632061OtherVASOUTHERN HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070727000380 VA Practitioner - Sleep MedicinePractitioner - Pulmonary Disease 5193826667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Pulmonary Disease
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
Pulmonary Associates of Richmond IncGroup PAC ID 8123095577, 49 clinicians

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 Hospital, Richmond, VA, CCN 490032

Merit-based Incentive Payment System (MIPS)

Final score
84.54 of 100Reported as group
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

LicenseStateTypeSpecialty
0101241502VAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of Richmond Inc CurrentSince Jul 1, 2007 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.