NPIMap

Individual provider Active NPI

Michael J Meares, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1215910955
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0046767 Issued in FL
Practice address
8793 Commodity Cir
Orlando, FL 32819-9005
Phone
(407) 351-8200
Fax
(407) 351-7696
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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 ME0046767 FL Primary

Addresses

Primary practice location

8793 Commodity Cir
Orlando, FL 32819-9005

Mailing address

8793 Commodity Cir
Orlando, FL 32819-9005
Phone (407) 351-8200

Other identifiers 4

IdentifierTypeStateIssuer
2068506OtherFLAETNA HMO
043046300MedicaidFL
BCBS OF FLORIDAOtherFL04242
4091318OtherFLAETNA PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000734 FL Practitioner - Family Practice 4587563838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

21 Columbia St
Orlando, FL 32806-1133
Phone (321) 841-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0046767FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc Family Medicine CurrentSince Apr 27, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Lakeland Regional Medical Center, Inc. Past Accepting new patients
Primary Care Specialists, LLC Family Medicine Past Accepting new patients
Osprey Emergency Physicians LLC Past Accepting new patients
Orlando Health Medical Group Inc Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Locations

8793 Commodity Cir
Orlando, FL 32819
Phone (407) 351-8200

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

Interoperability endpoints

  • Direct secure messaging: mmeares25596@orlandohealth.medalliesdirect.net

Organizations & group practices 7

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 3

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1215910955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8793 COMMODITY CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199005",
            "telephone_number": "407-351-8200",
            "fax_number": "407-351-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8793 COMMODITY CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199005",
            "telephone_number": "407-351-8200",
            "fax_number": "407-351-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEARES",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0046767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2068506",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043046300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "04242",
            "identifier": "BCBS OF FLORIDA",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4091318",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.