MICHAEL A. MAHAN M.D. – NPI #1922038892
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MICHAEL MAHAN is a physician located in BLACK RIVER FALLS, WI. NPPES has assigned the NPI number 1922038892 to MICHAEL MAHAN on July 04, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jun 30, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL MAHAN below.

NPI Profile for
MICHAEL A. MAHAN

NPI Number
1922038892
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL A. MAHAN
Credentials
M.D.
Primary location
610 W ADAMS ST
BLACK RIVER FALLS, WI 54615-9010
Phone: (715) 284-4311 Fax: (715) 284-2568
1 Other location(s):
711 W Adams St
Black River Falls, WI 54615-5052
Phone: (715) 284-5361
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jun 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MICHAEL MAHAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWI31555800
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 WI 29474

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
INDIANA UNIVERSITY SCHOOL OF MEDICINE - Graduated 1987
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MICHAEL MAHAN is affiliated with the following medical group(s):
  • HOSPITAL
    • BLACK RIVER MEMORIAL HOSPITAL
      711 W ADAMS ST
      BLACK RIVER FALLS, WI 54615
    • SACRED HEART HOSPITAL
      900 W CLAIREMONT AVE
      EAU CLAIRE, WI 54701
  • NURSING HOME
    • MEADOWBROOK OF BLACK RIVER FALLS
      1311 TYLER ST
      BLACK RIVER FALLS, WI 54615
  • HOSPICE
    • BLACK RIVER HOSPICE
      311 COUNTY HIGHWAY A SUITE 1
      BLACK RIVER FALLS, WI 54615
    • ST CROIX HOSPICE
      1280 W CLAIREMONT AVE SUITE 4
      EAU CLAIRE, WI 54701

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
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