Organization Active NPI

Michael D Feldman DO PA

  • Family Medicine Physician
  • Village of Palmetto Bay, FL
National Provider Identifier
1154420776
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MICHAEL D FELDMAN DO PA
Practice address
8750 SW 144TH St
Suite 203
Village of Palmetto Bay, FL 33176-7296
Phone
(305) 255-0098
Fax
(305) 255-3466
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael D Feldman, D.O.NPI 1578662110
Title
Owner
Phone
(305) 255-0098

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

8750 SW 144TH St
Suite 203
Village of Palmetto Bay, FL 33176-7296

Mailing address

8750 SW 144TH St
Suite 203
Village of Palmetto Bay, FL 33176-7296
Phone (305) 255-0098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070216000162 FL Part B Supplier - Clinic/Group Practice 4688776982 Receives reassigned benefits from 3 practitioners
Practice locations: Palmetto Bay, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154420776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 SW 144TH ST",
            "address_2": "SUITE 203",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767296",
            "telephone_number": "305-255-0098",
            "fax_number": "305-255-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 SW 144TH ST",
            "address_2": "SUITE 203",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767296",
            "telephone_number": "305-255-0098",
            "fax_number": "305-255-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D FELDMAN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-255-0098",
        "authorized_official_credential": "D.O."
    },
    "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 Village of Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.