MICHELLE DIANA MON (MD) – Phlebology Physician, NPI 1639148703
Phlebology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 GENERAL SURGERY in MI
Provider Addresses for MICHELLE DIANA MON (MD)
14650 E Old US Highway 12
Suite 303
Chelsea, MI 481181801
Phone: (734) 475-4177
Fax: (734) 475-3520
Type: Location
3407 Wilkens Ave Ste 410
Baltimore, MD 21229
Phone: (443) 574-8500
Type: Location
3820 NORTHDALE BLVD STE 201
TAMPA, FL 336241893
Phone: (800) 991-6117
Fax: (888) 812-8191
Type: Mailing
354 NEWNAN CROSSING BYP STE 210
NEWNAN, GA 302652323
Phone: (800) 991-6117
Fax: (888) 812-8191
Type: Location
1291 BECKET DR NE
BROOKHAVEN, GA 303191503
Phone: (239) 222-2324
Type: Mailing
Wilkens Avenue, Oaklee, Baltimore, Maryland, 21229, United States
BALTIMORE, MD 212295074
Phone: (443) 574-8500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251001004433 | I | General Surgery | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48118)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.