Individual provider Active NPI

Michele Davis

  • Critical Care Medicine (Internal Medicine) Physician
  • Delray Beach, FL
National Provider Identifier
1053832691
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME164011 Issued in FL
Practice address
5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone
(800) 655-2656
NPI assigned
Jul 5, 2017
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME164011 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME164011 FL Primary
Infectious Disease Physician 207RI0200X ME164011 FL

Addresses

Primary practice location

5352 Linton Blvd
Delray Beach, FL 33484-6514

Mailing address

PO Box 160672
Altamonte Springs, FL 32716-0672
Phone (800) 655-2656

Other practice location 1

21644 State Road 7
Boca Raton, FL 33428-1842
Phone (800) 655-2656

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
I20230830003156 FL Practitioner - Critical Care (Intensivists) 9537406830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Critical Care Associates LLCGroup PAC ID 6608186317, 27 clinicians

Practice addresses (Care Compare)

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME164011FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Critical Care Associates, LLC Critical Care Medicine CurrentSince Aug 17, 2023 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1053832691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160672",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160672",
            "telephone_number": "800-655-2656",
            "fax_number": "412-822-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5352 LINTON BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846514",
            "telephone_number": "800-655-2656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21644 State Road 7",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334281842",
            "country_code": "US",
            "telephone_number": "800-655-2656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME164011",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME164011",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME164011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.