Individual provider Active NPI

Michael S Thorpe, MD

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1124087614
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME67192 Issued in FL
Practice address
4860 SW 72ND Ave
Miami, FL 33155-5526
Phone
(786) 888-8066
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME67192 FL Primary

Addresses

Primary practice location

4860 SW 72ND Ave
Miami, FL 33155-5526

Mailing address

8891 SW 62ND CT
Miami, FL 33156-1801
Phone (305) 799-5254

Other identifiers 5

IdentifierTypeStateIssuer
041309OtherFLNHP
285183OtherFLAVMED
300131766OtherFLRAILROAD MEDICARE
42516OtherFLBCBSF
253605600MedicaidFL

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
I20040405000286 FL Practitioner - Diagnostic Radiology 5193718484 Practice locations: Miami, FL

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Imaging LLC CurrentSince Jul 12, 2004 Accepting new patients
Tampa Bay Imaging LLC CurrentSince Jul 12, 2004 Accepting new patients
Presgar Imaging of Cmi North LC Diagnostic Radiology CurrentSince Dec 1, 2003 Accepting new patients
Diagnostic Imaging Associates LLC Diagnostic Radiology PastSince Aug 1, 2002 Accepting new patients
Lakes Interventional Radiology Corp Past Accepting new patients
MRI at Sunset Inc Past Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology Past Accepting new patients

Locations

1860 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 663-2800

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1124087614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8891 SW 62ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331561801",
            "telephone_number": "305-799-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 SW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555526",
            "telephone_number": "786-888-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORPE",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME67192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "041309",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "285183",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300131766",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "42516",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253605600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.