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MICHAEL M MIKHAIL M.D.
NPI 1043384035
Internal Medicine - Medical Oncology in Malvern, PA

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
111 SHANDON PL, MALVERN, PA 19355(610) 314-3657(610) 578-0521 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2025, Nov 23, 2022, Mar 22, 2018 and 2 more (5 updates tracked since 2016).

About Michael M Mikhail M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL M MIKHAIL M.D. (NPI 1043384035) is an individual medical oncology provider in Malvern, Pennsylvania, licensed in Pennsylvania (MD045335L) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1043384035
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameMICHAEL M MIKHAILCredential: M.D.
Location Address111 SHANDON PLMalvern, PA 19355-3176
Mailing Address111 Shandon PlMalvern, PA 19355-3176 · (610) 314-3657 · Fax (610) 578-0521
Phone(610) 314-3657
Fax(610) 578-0521
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 10, 20255 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1043384035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses✔ Licensed in PA · MD045335L✔ Licensed in CO · DR.0069833✔ Licensed in DE · C1-0028437
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
111 SHANDON PL, Malvern, PA 19355
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12121 E Harmony Rd Unit 170Fort Collins, CO 80528-3413 · Phone (970) 493-6337 · Fax (970) 493-3528
Location 24701 OGLETOWN STANTON ROAD, SUITE 2300NEWARK, DE 19713-2055 · Phone (302) 731-7782 · Fax (302) 738-5917

Other Identifiers 3

Medicaid00015550830002PA
Other0276947000PA · Independence Blue Cross
Other147753PA · Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael M Mikhail M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507982592
PECOS Enrollment IDI20221206001414, I20250721003520
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Michael Mikhail reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christiana Care Health Services, Inc
15 mi
Family Medicine
1401 FOULK RD, SUITE 100B
Wilmington, DE 19803
  • Reassigned Medicare billing, Delaware enrollment
  • 1,531 clinicians in this Medicare group
NPI 1619951068 (302) 477-3300
Einstein Practice Plan Inc
18 mi
Psychiatry
4200 MONUMENT AVE
Philadelphia, PA 19131
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1144272733 (215) 456-7000
Guthrie Medical Group, P.C,
109 mi
Family Medicine
5950 SR 6 STE 101
Tunkhannock, PA 18657
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Guthrie Medical Group PC
  • 830 clinicians in this Medicare group
NPI 1164471652 (570) 836-4294
Poudre Valley Medical Group, LLC
1,551 mi
General Practice
2695 ROCKY MOUNTAIN AVE, SUITE 150
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 2,596 clinicians in this Medicare group
NPI 1366763260 (970) 624-4420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Prescription drug, oral, chemotherapeutic, nos J8999
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims578 services$0.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Mikhail's NPI number?

The NPI number for Michael Mikhail is 1043384035. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Michael Mikhail located?

Michael Mikhail practices at 111 Shandon Pl, Malvern, PA 19355. The listed phone number is (610) 314-3657.

What is Michael Mikhail's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Michael Mikhail enrolled in Medicare?

Yes. Michael Mikhail is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Mikhail's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mikhail reassigns Medicare benefits to 4 organizations: Christiana Care Health Services, Inc (Wilmington, DE), Einstein Practice Plan Inc (Philadelphia, PA), Guthrie Medical Group, P.C, (Tunkhannock, PA) and Poudre Valley Medical Group, LLC (Loveland, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Mikhail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Mikhail accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 2 other insurers list Michael Mikhail as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Mikhail was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.