Individual provider Active NPI

Michael J Plaza, M.D.

  • Diagnostic Radiology Physician
  • Doral, FL
National Provider Identifier
1013179423
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME110958 Issued in FL
Practice address
8375 NW 53Rd St
Doral, FL 33166-4611
Phone
(305) 243-1815
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME110958 FL Primary

Addresses

Primary practice location

8375 NW 53Rd St
Doral, FL 33166-4611

Mailing address

8375 NW 53Rd St
Doral, FL 33166-4611
Phone (305) 243-1815

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140919000943 FL Practitioner - Diagnostic Radiology 4082848676 Reassigns benefits to 6 organizations
I20250625002978 VA Practitioner - Diagnostic Radiology 4082848676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wake Forest University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alfa Diagnostic LLCGroup PAC ID 8224391875, 3 clinicians
Hampton Roads Radiology Associates, PCGroup PAC ID 4880688506, 39 clinicians

Practice addresses (Care Compare)

21355 E Dixie Hwy
Suite 101
Aventura, FL 33180-1239
Phone (305) 705-4775

582 Lynnhaven Pkwy
Suite 301
Virginia Beach, VA 23452-7386
Phone (757) 916-9630

Hospital & facility affiliations

  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME110958FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Roads Radiology Associates, PC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Vitalmd Group Holding LLC Diagnostic Radiology CurrentSince Aug 1, 2014 Accepting new patients
University of Miami Current Accepting new patients
University of Miami Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Apr 20, 2023 Accepting new patients
Kingsley Lane Anatomic Pathology Current Accepting new patients
Alfa Diagnostic LLC CurrentSince Aug 27, 2022 Accepting new patients
Pikeville Medical Center, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
B & G Diagnostic Services Inc Diagnostic Radiology CurrentSince Oct 21, 2021 Accepting new patients
Pikeville Medical Center Inc CurrentSince Oct 9, 2023 Accepting new patients
University of Miami CurrentSince Feb 1, 2021 Accepting new patients
B & G Diagnostic Services Inc Diagnostic Radiology CurrentSince Jun 18, 2022 Accepting new patients
Tra-Minw P S PastSince May 1, 2025 Accepting new patients

Locations

21355 E Dixie Hwy
Ste 101
Aventura, FL 33180
Phone (305) 705-4775

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

7500 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (305) 740-5100

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

2751 N Miami Ave
Ste 4
Miami, FL 33127
Phone (305) 740-5100

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

8375 NW 53rd St
Miami, FL 33166
Phone (305) 243-1815

15735 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 517-1725

582 Lynnhaven Pkwy
Ste 301
Virginia Beach, VA 23452
Phone (757) 916-9631

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1013179423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8375 NW 53RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664611",
            "telephone_number": "305-243-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 NW 53RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664611",
            "telephone_number": "305-243-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-6791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLAZA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME110958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.