Individual provider Active NPI

Michael R Carpino, PA-C

  • Physician Assistant
  • Deland, FL
National Provider Identifier
1194431346
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9120363 Issued in FL
Practice address
600 W Plymouth Ave
Deland, FL 32720-2709
Phone
(866) 400-3376
Fax
(386) 738-0628
NPI assigned
Jan 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9120363 FL Primary

Addresses

Primary practice location

600 W Plymouth Ave
Deland, FL 32720-2709

Mailing address

151 Southhall LN Ste 300
Maitland, FL 32751-7172
Phone (866) 400-3376

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627003969 FL Practitioner - Physician Assistant 9638682164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 International Pkwy
Suite 240
Heathrow, FL 32746-5033
Phone (407) 333-4200

1410 W Broadway St
Suite 205
Oviedo, FL 32765-6472
Phone (407) 359-2100

1503 Buenos Aires Blvd
Suite 100
The Villages, FL 32159-6825
Phone (352) 753-2812

2868 S Alafaya TRL
Suite 130
Orlando, FL 32828-7974
Phone (407) 770-0063

2893 Enterprise Rd
Suite 100
Debary, FL 32713-2784
Phone (386) 789-8600

818 N Woodland Blvd
Deland, FL 32720-2709
Phone (386) 738-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9120363FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc CurrentSince Jul 1, 2025 Accepting new patients
Leavitt Medical Associates of Florida Inc CurrentSince Jul 1, 2025 Accepting new patients
Leavitt Medical Associates of Florida Inc PastSince Jun 15, 2025 Accepting new patients
Leavitt Medical Associates of Florida Inc PastSince Jun 15, 2025 Accepting new patients

Locations

1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474

2893 Enterprise Rd
Ste 100
Debary, FL 32713
Phone 3867898600 ext. 38678

818 N Woodland Blvd
Deland, FL 32720
Phone (386) 738-8000

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

Organizations & group practices 4

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1194431346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "866-400-3376",
            "fax_number": "386-738-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202709",
            "telephone_number": "866-400-3376",
            "fax_number": "386-738-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPINO",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9120363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.