Organization Active NPI

Michael P. Schmidt, M.D., P.a.

  • Family Medicine Physician
  • Deerfield Beach, FL
National Provider Identifier
1083909584
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0057364 Issued in FL
Legal business name
MICHAEL P. SCHMIDT, M.D., P.A.
Practice address
2223 W Hillsboro Blvd
Deerfield Beach, FL 33442-1264
Phone
(954) 360-7769
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Dr. Michael P Schmidt, MDNPI 1063583086
Title
Owner/Doctor
Phone
(954) 360-7769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0057364 FL Primary

Addresses

Primary practice location

2223 W Hillsboro Blvd
Deerfield Beach, FL 33442-1264

Mailing address

2223 W Hillsboro Blvd
Deerfield Beach, FL 33442-1264
Phone (954) 360-7769

Other identifiers 1

IdentifierTypeStateIssuer
118620700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110624000480 FL Part B Supplier - Clinic/Group Practice 1850579608 Receives reassigned benefits from 2 practitioners
Practice locations: Deerfield Beach, FL

National Provider Directory

National Provider Directory

Locations

2345 W Hillsboro Blvd
Ste 205
Deerfield Beach, FL 33442
Phone (954) 360-7769

2223 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 360-7769

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1083909584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421264",
            "telephone_number": "954-360-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421264",
            "telephone_number": "954-360-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P. SCHMIDT, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "954-360-7769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0057364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118620700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.