Individual provider Active NPI

Mareril Wheeler

  • Critical Care Medicine (Internal Medicine) Physician
  • Miami Beach, FL
National Provider Identifier
1124391149
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
R6712 Issued in TX
Practice address
1504 Bay Rd
Apartment 2910
Miami Beach, FL 33139-3399
Phone
(203) 494-1515
NPI assigned
Feb 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 268540-1 NY
Emergency Medicine Physician 207P00000X MD18318 RI
Emergency Medicine Physician 207P00000X 38878 SC
Emergency Medicine Physician 207P00000X R6712 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X R6712 TX Primary

Addresses

Primary practice location

1504 Bay Rd
Apartment 2910
Miami Beach, FL 33139-3399

Mailing address

1504 Bay Rd
Apartment 2910
Miami Beach, FL 33139-3399
Phone (203) 494-1515

Other practice location 1

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-2129

Other practice location 2

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000

Other practice location 3

200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3000

Other practice location 4

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, NJ, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20130905000128 NY Practitioner - Emergency Medicine 7618110933 Reassigns benefits to 3 organizations
I20161107002118 FL Practitioner - Emergency Medicine 7618110933 Reassigns benefits to 5 organizations
I20210114000650 NJ Practitioner - Emergency Medicine 7618110933 Reassigns benefits to 1 organization
I20240228000580 TX Practitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 7618110933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Albert Einstein College of Medicine of Yeshiva University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians
Bsa Physicians Group IncGroup PAC ID 3971748146, 121 clinicians

Practice addresses (Care Compare)

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-2000

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
268540-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Florida Emergency Management LLC Emergency Medicine CurrentSince Sep 3, 2017 Accepting new patients
Bsa Physicians Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Thse - Marco Urgent Care LLC CurrentSince Sep 3, 2017 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Hospitalist Physicians of New Jersey PA CurrentSince Feb 1, 2020 Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Exigence Medical of Binghamton PLLC CurrentSince May 1, 2013 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Bsa Physicians Group Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

65 James St
Edison, NJ 08820
Phone (732) 321-7010

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

Interoperability endpoints

  • Direct secure messaging: mwheeler914562@ahs.direct-ci.com

Organizations & group practices 12

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.

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": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1124391149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 BAY RD",
            "address_2": "APARTMENT 2910",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393399",
            "telephone_number": "203-494-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 BAY RD",
            "address_2": "APARTMENT 2910",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393399",
            "telephone_number": "203-494-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Wallace Blvd",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061799",
            "country_code": "US",
            "telephone_number": "806-212-2129",
            "fax_number": "806-212-2246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084728",
            "country_code": "US",
            "telephone_number": "401-456-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 High Service Ave",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029045113",
            "country_code": "US",
            "telephone_number": "401-456-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Kenyon Ave",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794216",
            "country_code": "US",
            "telephone_number": "401-782-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "MARERIL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-22",
        "last_updated": "2024-06-10",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "268540-1",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD18318",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "38878",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R6712",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "R6712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.