NPIMap

Individual provider Active NPI

Jean Michel Amisial, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1255612065
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME110803 Issued in FL
Practice address
1190 NW 95TH St
405
Miami, FL 33150-2063
Phone
(305) 835-9264
Fax
(305) 835-9354
NPI assigned
Sep 7, 2011
Last updated
Sep 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME110803 FL Primary

Addresses

Primary practice location

1190 NW 95TH St
405
Miami, FL 33150-2063

Mailing address

1190 NW 95TH St Ste 405
Miami, FL 33150-2067
Phone (305) 835-9264

Other identifiers 1

IdentifierTypeStateIssuer
0045030000MedicaidFL

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
I20120328000494 FL Practitioner - Internal Medicine 0648430678 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Grove Physician Services PAGroup PAC ID 8628421526, 65 clinicians

Practice addresses (Care Compare)

160 NW 170 St
North Miami Beach, FL 33169-5521
Phone (305) 651-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME110803FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Medical Associates, Inc CurrentSince Nov 2, 2019 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine Current Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine Current Accepting new patients
First Docs PC Internal Medicine CurrentSince Jan 12, 2025 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Jul 1, 2017 Accepting new patients
Oak Grove Physician Services, P.a. Internal Medicine CurrentSince Feb 6, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
QMC LLC PastSince Feb 1, 2021 Accepting new patients
I & B Medical Associates Inc Internal Medicine Past Accepting new patients
Internal Medicine Group of South Florida Internal Medicine Past Accepting new patients
Act Hospitalist LLC Internal Medicine PastSince Nov 2, 2019 Accepting new patients

Locations

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

15490 NW 7th Ave
Ste 101
Miami, FL 33169
Phone (305) 364-5778

1611 NW 12th Ave
Apt C150
Miami, FL 33136
Phone (305) 585-3627

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

100 NW 170th St
Ste 410
North Miami Beach, FL 33169
Phone (305) 606-7028

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCFDCD

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1255612065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST STE 405",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502067",
            "telephone_number": "305-835-9264",
            "fax_number": "305-835-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST",
            "address_2": "405",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502063",
            "telephone_number": "305-835-9264",
            "fax_number": "305-835-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMISIAL",
        "first_name": "JEAN",
        "middle_name": "MICHEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME110803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045030000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.