Individual provider Active NPI

Michelle D. Massias, MD

  • Pediatrics Physician
  • Gainesville, FL
National Provider Identifier
1124046347
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME95485 Issued in FL
Practice address
4627 NW 53Rd Ave
Gainesville, FL 32606-4357
Phone
(352) 335-8888
Fax
(352) 335-9427
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME95485 FL Primary

Addresses

Primary practice location

4627 NW 53Rd Ave
Gainesville, FL 32606-4357

Mailing address

4627 NW 53Rd Ave
Gainesville, FL 32606-4357
Phone (352) 335-8888

Other identifiers 1

IdentifierTypeStateIssuer
275091100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saltzman, Tanis, Pittel, Levin and Jacobson, LLC Pediatrics PastSince Nov 21, 2021 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson Pediatrics Past Accepting new patients
Alliance Pediatrics PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: clinicalstaff@alliancepeds.directbygreenway.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1124046347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 NW 53RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064357",
            "telephone_number": "352-335-8888",
            "fax_number": "352-335-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 NW 53RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064357",
            "telephone_number": "352-335-8888",
            "fax_number": "352-335-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIAS",
        "first_name": "MICHELLE",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME95485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275091100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.