MICHAEL TANAEL M.D.
NPI 1508398587
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is Michael Tanael's NPI number?

The NPI number for Michael Tanael is 1508398587. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Q: What is Michael Tanael's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Tanael was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 30, 2017PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 815-1779 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2023, Nov 8, 2019, Jan 11, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Michael Tanael M.d. NPPES

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

MICHAEL TANAEL M.D. (NPI 1508398587) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508398587

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMICHAEL TANAELCredential: M.D.

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address300 Twining StMaxwell Afb, AL 36112-6027 · (334) 918-3328

Phone(601) 815-1779

Sole ProprietorNo

Enumeration DateMarch 30, 2017

Last NPPES UpdateJuly 24, 20234 updates tracked since enumeration

NPPES CertifiedJuly 22, 2023

✔ NPI 1508398587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedMilitary Health Care Provider · Independent Duty CorpsmanTaxonomy 1710I1002X · License 37520 (AL)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 37520 (AL)

2500 N STATE ST, Jackson, MS 39216

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Tanael M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)