Individual provider Active NPI

Michael Haiken, MD

  • MOHS-Micrographic Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1033148382
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
49016 Issued in FL
Practice address
8841 Cody Lee Rd
Fort Myers, FL 33912-4500
Phone
(239) 768-1400
Fax
(239) 768-5736
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 49016 FL Primary

Addresses

Primary practice location

8841 Cody Lee Rd
Fort Myers, FL 33912-4500

Mailing address

6017 Cocos Dr
Fort Myers, FL 33908-4618
Phone (239) 691-3987

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
I20070314000268 FL Practitioner - Dermatology 2466555354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael J Haiken MD PAGroup PAC ID 7012010903, 5 clinicians

Practice addresses (Care Compare)

6017 Cocos Dr
Fort Myers, FL 33908-4618

8841 Cody Lee Rd
Fort Myers, FL 33912-4500
Phone (239) 768-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision277
Removal of tissue70
Removal of skin lesions240
Removal of skin cancer381
Removal or shaving of skin growth1-10
Skin biopsy209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49016FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Haiken MD PA Mohs-Micrographic Surgery CurrentSince Jun 1, 2006 Accepting new patients

Locations

13691 Metro Pkwy
Ste 310
Fort Myers, FL 33912
Phone (239) 691-3987

20171 Summerlin Rd
Fort Myers, FL 33908
Phone (239) 768-1400

8841 Cody Lee Rd
Fort Myers, FL 33912
Phone (239) 691-3987

81 Old Colony Way
Unit G
Orleans, MA 02653
Phone (239) 691-3987

Organizations & group practices 1

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

Hospital & facility affiliations 1

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1033148382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6017 COCOS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084618",
            "telephone_number": "239-691-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841 CODY LEE RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124500",
            "telephone_number": "239-768-1400",
            "fax_number": "239-768-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIKEN",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "49016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.