Michael Gerard Deichen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0043762 Issued in FL

Practice address

University of Central Florida Health Services
4000 Central Florida Blvd.
Orlando, FL 32816-3333

Phone

(407) 823-0260

Fax

(407) 823-0417

NPI assigned

Jan 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of South Florida College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The University of Central Florida Board of TrusteesGroup PAC ID 9739181470, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The University of Central Florida Board of Trustees

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1568497527
  Medicare reassignment Care Compare group NPD
• University of Central Florida

  dba UCF Student Health Services

  • Student in an Organized Health Care Education/Training Program
  • Orlando, FL
  • NPI 1689877748
  NPD (past) Authorized official
• The University of Central Florida Board of Trustees

  • Neurology Physician
  • Orlando, FL
  • NPI 1609575786
  NPD
• University of Central Florida

  dba Ucf Health

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1104066216
  NPD
• Communication Disorders Clinic

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1992750301
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053469312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CENTRAL FLORIDA HEALTH SERVICES",
            "address_2": "4000 CENTRAL FLORIDA BLVD.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328163333",
            "telephone_number": "407-823-0260",
            "fax_number": "407-823-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CENTRAL FLORIDA HEALTH SERVICES",
            "address_2": "4000 CENTRAL FLORIDA BLVD.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328163333",
            "telephone_number": "407-823-0260",
            "fax_number": "407-823-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEICHEN",
        "first_name": "MICHAEL",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0043762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Degeorge
• Bernard Ryan Degnan, MD, MPH
• Lisa T Deguzman, RRT
• Ashley Dehaven
• Anna-Liisa Dehner
• Edwin Dejesus, MD
• Eufemia Dejesus, BSPH
• Leslie A. Dejesus
• Samuel Dejesus, MD
• Veronica Juanita Dejesus

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.