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DR. MICHAEL A REALE M.D. PHD NPI 1992774434


NPI Information

NPI: 1992774434
Provider Name: DR. MICHAEL A REALE, M.D., PHD
Classification: Specialist - 174400000X
Entity Type: Individual
Organization: REGIONAL CANCER CARE ASSOCIATES LLC

PECOS Registration: Yes

Address:
100 HAYNES ST
2ND FLOOR
MANCHESTER, CT
ZIP 06040
Phone: (860) 646-0670
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DR. Michael A Reale, M.D., PHD is a specialist in Manchester, CT with 37 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Michael A Reale, M.D., PHD NPI is 1992774434. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduation Year:1987

The provider's business location address is:

100 HAYNES ST
2ND FLOOR
MANCHESTER, CT
ZIP 06040-113
Phone: (860) 646-0670
Fax: (860) 643-9388

The NPI 1992774434 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Infusion of chemotherapy into a vein up to 1 hour (HCPCS:96413)
  • Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour (HCPCS:96367)
  • Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)

The enumeration date for this NPI number is 3/16/2006 and was last updated on 8/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine030634CONNECTICUTNo
2174400000XSpecialist030634CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E17043MEDICARE UPINCONNECTICUT
2001306340MEDICAIDCONNECTICUT
3830000079MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.