Individual provider Active NPI

Michael J Shumski

  • Ophthalmology Physician
  • Orlando, FL
National Provider Identifier
1215225370
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME127795 Issued in FL
Practice address
120 E Par St Ste 2000
Orlando, FL 32804-3943
Phone
(407) 843-5665
Fax
(407) 872-7939
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME127795 FL Primary

Addresses

Primary practice location

120 E Par St Ste 2000
Orlando, FL 32804-3943

Mailing address

120 E Par St Ste 2000
Orlando, FL 32804-3943
Phone (407) 843-5665

Other identifiers 1

IdentifierTypeStateIssuer
ME127795OtherFLOPHTHAMOLOGY

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
I20170509002145 FL Practitioner - Ophthalmology 5395058101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G Brock Magruder Jr MD PAGroup PAC ID 2365600780, 2 clinicians

Practice addresses (Care Compare)

120 E Par St
Suite 2000
Orlando, FL 32804-3943
Phone (407) 843-5665

Merit-based Incentive Payment System (MIPS)

Final score
97.48 of 100Reported as group
Quality
94.96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery621

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
G Brock Magruder Jr MD PA Ophthalmology CurrentSince Apr 17, 2017 Accepting new patients

Locations

7319 Stonerock Cir
Ste 106
Orlando, FL 32819
Phone (407) 248-9800

120 E Par St
Ste 2000
Orlando, FL 32804
Phone (407) 843-5665

Organizations & group practices 1

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1215225370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E PAR ST STE 2000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328043943",
            "telephone_number": "407-843-5665",
            "fax_number": "407-872-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E PAR ST STE 2000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328043943",
            "telephone_number": "407-843-5665",
            "fax_number": "407-872-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMSKI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME127795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPHTHAMOLOGY",
            "identifier": "ME127795",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.