Organization Active NPI

Michele Maholtz MD PA

  • Pulmonary Disease Physician
  • Vero Beach, FL
National Provider Identifier
1316160724
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0064054 Issued in FL
Legal business name
MICHELE MAHOLTZ MD PA
Practice address
3725 12TH CT
Vero Beach, FL 32960-6589
Phone
(772) 978-1673
Fax
(772) 567-5561
NPI assigned
Apr 11, 2007
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Michele Maholtz, MDNPI 1205807161
Title
President
Phone
(772) 978-1673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME0064054 FL Primary

Addresses

Primary practice location

3725 12TH CT
Vero Beach, FL 32960-6589

Mailing address

1475 Corona LN
Vero Beach, FL 32963-2508
Phone (772) 643-7380

Other identifiers 1

IdentifierTypeStateIssuer
18800OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419001134 FL Part B Supplier - Clinic/Group Practice 1052359205 Receives reassigned benefits from 2 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

3725 12th Ct
Vero Beach, FL 32960
Phone (772) 567-0081

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1316160724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 CORONA LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632508",
            "telephone_number": "772-643-7380",
            "fax_number": "772-212-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 12TH CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606589",
            "telephone_number": "772-978-1673",
            "fax_number": "772-567-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE MAHOLTZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "MAHOLTZ",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-978-1673",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0064054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.