Active NPI
Michael B Longley, MD
- Emergency Medicine Physician
- Wesley Chapel, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME94125
- Practice address
- 2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207 - Phone
- (813) 929-5000
- Fax
- (813) 972-5753
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME94125 | FL | Primary |
Addresses
Primary practice location
2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Mailing address
12479 Telecom Dr
Tampa, FL 33637-0913
Phone (813) 972-4199
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29386 | Other | FL | BCBS OF FLORIDA |
| 274028100 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5000
Hospital & facility affiliations
- Adventhealth North Pinellas
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.12 of 100
- Quality
- 83.29
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME94125 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Emergency Physicians-Heartland LLC | Emergency Medicine | Current | Accepting new patients |
| Tampa Bay Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Carrollwood Emergency Physicians PA | Emergency Medicine | Past | Accepting new patients |
| Franklin, Favata & Hulls, MD'S, PA | Emergency Medicine | Past | Accepting new patients |
Locations
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001
3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200
1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000
12479 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 972-4199
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
Interoperability endpoints
- mlongley505571@adventhealth.direct-ci.com
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.
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1114977428
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1043661408
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1215988829
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1841240439
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1265487482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12479 TELECOM DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336370913",
"telephone_number": "813-972-4199",
"fax_number": "813-972-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 BRUCE B DOWNS BLVD",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335449207",
"telephone_number": "813-929-5000",
"fax_number": "813-972-5753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGLEY",
"first_name": "MICHAEL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME94125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "29386",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274028100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.