Individual provider Active NPI

Michelle R Powell, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1154350577
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0078843 Issued in FL
Practice address
3661 S. Miami Ave
Suite 806
Miami, FL 33133-4214
Phone
(305) 856-2171
Fax
(305) 859-7313
NPI assigned
Jun 30, 2006
Last updated
Jul 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0078843 FL Primary

Addresses

Primary practice location

3661 S. Miami Ave
Suite 806
Miami, FL 33133-4214

Mailing address

8390 Champions Gate Blvd
Suite 215
Champions Gate, FL 33896-8310
Phone (407) 390-1677

Other identifiers 1

IdentifierTypeStateIssuer
257959600MedicaidFL

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
I20040812001263 FL Practitioner - Family Practice 5597738195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio Medical University, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Dade Internal Medicine and Associates LLCGroup PAC ID 5395114334, 2 clinicians

Practice addresses (Care Compare)

1801 NE 123Rd St
Suite 417
North Miami, FL 33181-2885
Phone (786) 534-4907

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
79.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0078843FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation CurrentSince Jan 29, 2012 Accepting new patients
AIDS Healthcare Foundation Current Accepting new patients
Dade Internal Medicine and Associates LLC CurrentSince Mar 1, 2025 Accepting new patients
AIDS Healthcare Foundation CurrentSince Jan 29, 2012 Accepting new patients
Omni Healthcare, Inc. Family Medicine Past Accepting new patients

Locations

8390 Champions Gate Blvd
Ste 215
Champions Gate, FL 33896
Phone (407) 479-2013

3661 S Miami Ave
Ste 806
Miami, FL 33133
Phone (305) 856-2171

1801 NE 123rd St
Ste 417
North Miami, FL 33181
Phone (305) 899-2511

3135 State Road 580
Ste 1
Safety Harbor, FL 34695
Phone (727) 259-2000

Interoperability endpoints

  • Direct secure messaging: michelle.powell.1@33152.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1154350577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD",
            "address_2": "SUITE 215",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968310",
            "telephone_number": "407-390-1677",
            "fax_number": "407-390-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S. MIAMI AVE",
            "address_2": "SUITE 806",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334214",
            "telephone_number": "305-856-2171",
            "fax_number": "305-859-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0078843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257959600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.