Active NPI
Michael Patipa, M.D.
- Ophthalmology Physician
- West Palm Beach, FL
National Provider Identifier
1316001613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME30789
- Practice address
- 4461 Medical Center Way
Suite a
West Palm Beach, FL 33407 - Phone
- (561) 845-6500
- Fax
- (561) 845-6300
- NPI assigned
- Dec 20, 2006
- Last updated
- Nov 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME30789 | FL | Primary |
Addresses
Primary practice location
4461 Medical Center Way
Suite a
West Palm Beach, FL 33407
Mailing address
4461 Medical Center Way
Suite a
West Palm Beach, FL 33407
Phone (561) 845-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME30789 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oculoplastic and Orbital Consultants PA | Past | Accepting new patients | |
| Sheridan Healthcorp, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Palm Beach Gardens, FL
- NPI 1114072360
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1316001613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4461 MEDICAL CENTER WAY",
"address_2": "SUITE A",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33407",
"telephone_number": "561-845-6500",
"fax_number": "561-845-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4461 MEDICAL CENTER WAY",
"address_2": "SUITE A",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33407",
"telephone_number": "561-845-6500",
"fax_number": "561-845-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIPA",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME30789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
- Shree Patel, DC
- Sohini Brahmbhatt Patel, O.D.
- Path Medical, LLC (Path Medical - Palm Beach Lakes)
- Path of Life Assisted Living of Palm Beach LLC
- Pathways Center for Mental Health, Inc.
- Great Patoombal, ARNP-BC
- Patricia E Morrison Counseling Inc (Patricia E Morrison, LCSW)
- Patrick Boursiquot LCSW Inc
- Patrick Dennis DC PA
- Patriots Services LLC (Florida Vitality)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.