Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL GREGORY MICHALIK MD
NPI 1790306306
Internal Medicine in Saint Paul, MN

Active since May 05, 2020PECOS Enrolled
401 PHALEN BLVD, SAINT PAUL, MN 55130(952) 967-7616 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2026, Jul 14, 2024, Jun 2, 2023 and 1 more (4 updates tracked since 2020).

About Michael Gregory Michalik Md NPPES

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

MICHAEL GREGORY MICHALIK MD (NPI 1790306306) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Minnesota (73914) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains a secondary practice location in Stillwater.

NPPES Registry Identity

NPI1790306306
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL GREGORY MICHALIKCredential: MD
Location Address401 PHALEN BLVDSaint Paul, MN 55130-5302
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2020
Enumeration DateMay 5, 2020
Last NPPES UpdateSeptember 23, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1790306306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 73914
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 73914 (MN)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 73914 (MN)
401 PHALEN BLVD, Saint Paul, MN 55130

Secondary Practice Location 1

Location 11500 Curve Crest Blvd WStillwater, MN 55082-6040 · Phone (651) 439-1234 · Fax (651) 275-3325

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Gregory Michalik Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113346222
PECOS Enrollment IDI20260904002575
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 Reassignment

Medicare enrollment records show Michael Michalik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Dentistry
205 WABASHA ST S
Saint Paul, MN 55107
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Dermatology
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Pulmonary Disease)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Physician Assistant
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Critical Care Medicine)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Rheumatology)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Optometrist
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Infectious Disease)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Dermatology
401 PHALEN BLVD
SAINT PAUL, MN 55130

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 Michalik's NPI number?

The NPI number for Michael Michalik is 1790306306. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Michael Michalik located?

Michael Michalik practices at 401 Phalen Blvd, Saint Paul, MN 55130. The listed phone number is (952) 967-7616.

What is Michael Michalik's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Michalik enrolled in Medicare?

Yes. Michael Michalik is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Michalik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Michalik reassigns Medicare benefits to Group Health, Inc. (Saint Paul, MN). The 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 Michalik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Michalik accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Michael Michalik 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.

Is Michael Michalik affiliated with any hospitals?

According to CMS data, Michael Michalik is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Michael Michalik was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.