DR. MICHAEL WILLIAM NOONAN (D.O.) – Family Medicine Physician, NPI 1902071202

DR. MICHAEL WILLIAM NOONAN (D.O.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in MEDICAL ONCOLOGY. They hold the professional credentials D.O.. They hold a License No. OS024214 (PA). The NPI Number for DR. MICHAEL WILLIAM NOONAN (D.O.) is 1902071202

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL WILLIAM NOONAN (D.O.)
NPI
1902071202
Phone
Not provided
Address
3509 N BROAD ST
Enumeration Date
28 April 2008
Last Update Date
23 January 2026

Doctor Profile

Medical School Name
ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2157072111
Graduation Year
2006 (20 years ago)
PAC ID
8022141886
Group Practice PAC ID
0345588711
Professional Enrollment ID
I20250221001019
Address ID
PA191112434PH333XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Digital endpointsOther names

141 MEDICAL ONCOLOGY in CO

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Provider Addresses for DR. MICHAEL WILLIAM NOONAN (D.O.)

  • 3509 N BROAD ST

    PHILADELPHIA, PA 191404105

    Phone:

    Type: Mailing

  • Salud Family Health Center, 6255, Quebec Parkway, Commerce City, Adams County, Colorado, 80022, United States

    COMMERCE CITY, CO 800224812

    Phone: (303) 286-8900

    Fax: (303) 286-8260

    Type: Mailing

  • 203, Rollie Avenue, Fort Lupton, Weld County, Colorado, 80621, United States

    FORT LUPTON, CO 806211508

    Phone: (303) 286-4560

    Fax: (303) 286-4589

    Type: Location

  • 333 COTTMAN AVE

    PHILADELPHIA, PA 191112434

    Phone: (215) 728-2273

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2025-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140820002567IFamily PracticeCOTBD
I20230829004548IFamily PracticeDETBD
I20250221001019IMedical OncologyPATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99497Advance care planning, first 30 minutes5938$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3737$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3519$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1914$0
View full utilization report →

Insurance plans in this area (ZIP 19140)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345588711View full group profile
NameSpecialtyState
Internal MedicinePA
A N E S T H E S I O L O G YPA
Pulmonary Disease, Critical Care (Intensivists), HospitalistPA
O B S T E T R I C S/ G Y N E C O L O G YPA
-PA
Pulmonary Disease, Critical Care (Intensivists)PA
General SurgeryPA
-PA
P A T H O L O G YPA
-PA

Reviews

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Frequently asked questions

Can I cross-check DR. MICHAEL WILLIAM NOONAN (D.O.) using NPI 1902071202?
NPI 1902071202 belongs to DR. MICHAEL WILLIAM NOONAN (D.O.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. MICHAEL WILLIAM NOONAN (D.O.)?
You should see DR. MICHAEL WILLIAM NOONAN (D.O.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. MICHAEL WILLIAM NOONAN (D.O.)?
At a glance, DR. MICHAEL WILLIAM NOONAN (D.O.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MICHAEL WILLIAM NOONAN (D.O.)?
Directory geography for DR. MICHAEL WILLIAM NOONAN (D.O.) centers on Philadelphia, Pennsylvania.
Does DR. MICHAEL WILLIAM NOONAN (D.O.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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