Individual provider Active NPI

Hany Botros Mikhail, MD

  • Psychiatry Physician
  • Brandon, FL
National Provider Identifier
1013014737
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME95351 Issued in FL
Practice address
106 W Windhorst Rd
Brandon, FL 33510-2455
Phone
(678) 923-6025
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME95351 FL Primary

Addresses

Primary practice location

106 W Windhorst Rd
Brandon, FL 33510-2455

Mailing address

PO Box 1584
Cumming, GA 30028-1584
Phone (678) 923-6025

Other practice location 1

5707 N 22nd St
Tampa, FL 33610
Phone (813) 272-2244

Other identifiers 1

IdentifierTypeStateIssuer
1013014737MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070628000559 FL Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 7315046588 Reassigns benefits to 5 organizations
Practice locations: Brandon, FL; Brooksville, FL

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ashit K Vijapura MD PAGroup PAC ID 8527198555, 10 clinicians

Practice addresses (Care Compare)

106 W Windhorst Rd
Brandon, FL 33510-2455
Phone (678) 923-6025

802 W Dr Martin Luther King Jr Blvd
Suite D
Plant City, FL 33563-5105
Phone (813) 754-1496

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Tampa, FL, CCN 109689
  • HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206
  • HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191
  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Onpoint Behavioral Health CurrentSince May 1, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc Psychiatry CurrentSince Sep 22, 2015 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Sep 22, 2015 Accepting new patients
Learning to Achieve Wellness Inc CurrentSince Jul 1, 2023 Accepting new patients

Locations

413 W Robertson St
Ste B
Brandon, FL 33511
Phone (813) 657-4711

1540 International Pkwy
Ste 2000
Lake Mary, FL 32746
Phone (407) 287-9179

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3206 Cove Bend Dr
Tampa, FL 33613
Phone (813) 400-0375

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

6943 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 803-2999

Networks

  • Freedom Health HMO Network
  • FL PPO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • FL HMO C-SNP
  • FL HMO D-SNP
  • AL HMO D-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO
  • AL HMO

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1013014737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1584",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300281584",
            "telephone_number": "678-923-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W WINDHORST RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102455",
            "telephone_number": "678-923-6025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5707 N 22nd St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33610",
            "country_code": "US",
            "telephone_number": "813-272-2244",
            "fax_number": "813-272-3766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKHAIL",
        "first_name": "HANY",
        "middle_name": "BOTROS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME95351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013014737",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.