Individual provider Active NPI

Michael Francis Federico, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • N Las Vegas, NV
National Provider Identifier
1023066842
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0104 Issued in NV
Practice address
4001 N. Las Vegas Blvd.
Mofh Nellis AFB 3C
N. Las Vegas, NV 89191
Phone
(702) 653-3134
Fax
(702) 653-2790
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0104 NV Primary

Addresses

Primary practice location

4001 N. Las Vegas Blvd.
Mofh Nellis AFB 3C
N. Las Vegas, NV 89191

Mailing address

8835 Hickam Ave
Las Vegas, NV 89129-3626
Phone (702) 657-9228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
147NMMDCounseling Psychologist
0104NVMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023066842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 HICKAM AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891293626",
            "telephone_number": "702-657-9228",
            "fax_number": "702-657-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N. LAS VEGAS BLVD.",
            "address_2": "MOFH NELLIS AFB 3C",
            "city": "N. LAS VEGAS",
            "state": "NV",
            "postal_code": "89191",
            "telephone_number": "702-653-3134",
            "fax_number": "702-653-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICO",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "0104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.