Individual provider Active NPI

Michael J Tuohy, MD

  • Anesthesiology Physician
  • Jupiter, FL
National Provider Identifier
1225008840
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME57838 Issued in FL
Practice address
2055 Military TRL
Jupiter, FL 33458-7801
Phone
(561) 741-1705
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 32000 CO
Anesthesiology Physician 207L00000X ME57838 FL Primary

Addresses

Primary practice location

2055 Military TRL
Jupiter, FL 33458-7801

Mailing address

5440 N Ocean Dr Apt 406
Riviera Beach, FL 33404-2529
Phone (970) 309-1948

Other identifiers 1

IdentifierTypeStateIssuer
01320001MedicaidCO

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
I20071128000336 FL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 0446349526 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32000COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Anesthesia Associates, Inc. Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Bethesda Anesthesia Associates, Inc. Anesthesiology Current Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste 520
Boynton Beach, FL 33437
Phone (561) 374-5550

2055 Military Trl
Ste 100
Jupiter, FL 33458
Phone (561) 263-4487

Organizations & group practices 2

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1225008840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 N OCEAN DR APT 406",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042529",
            "telephone_number": "970-309-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 MILITARY TRL",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587801",
            "telephone_number": "561-741-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUOHY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "32000",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME57838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01320001",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.