Organization Active NPI

Michael Siuta MD PLLC

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1114693892
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MICHAEL SIUTA MD PLLC
Practice address
145 SW 13TH St Apt 649
Miami, FL 33130-4393
Phone
(607) 592-7739
NPI assigned
Aug 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Authorized official

Name
Dr. Michael Andrew Siuta, MD PHDNPI 1700205424
Title
Title Manager
Phone
(607) 592-7739

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 Primary

Addresses

Primary practice location

145 SW 13TH St Apt 649
Miami, FL 33130-4393

Mailing address

145 SW 13TH St Apt 649
Miami, FL 33130-4393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1629504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629504000000",
    "number": "1114693892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SW 13TH ST APT 649",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SW 13TH ST APT 649",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304393",
            "telephone_number": "607-592-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SIUTA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A",
        "authorized_official_last_name": "SIUTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "TITLE MANAGER",
        "authorized_official_telephone_number": "607-592-7739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.