Individual provider Active NPI

Michael Len Psikogios, MD

  • Internal Medicine Physician
  • Ocala, FL
National Provider Identifier
1316987571
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME67398 Issued in FL
Practice address
4011 E Silver Springs Blvd
Ocala, FL 34470
Phone
(352) 261-0400
Fax
(844) 388-6186
NPI assigned
Jun 7, 2006
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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 ME67398 FL Primary

Addresses

Primary practice location

4011 E Silver Springs Blvd
Ocala, FL 34470

Mailing address

4011 E Silver Springs Blvd
Ocala, FL 34470-5098
Phone (352) 261-0400

Other identifiers 1

IdentifierTypeStateIssuer
377153900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041207000296 FL Practitioner - Internal Medicine 3072579572 Reassigns benefits to 1 organization
I20230823002803 AL Practitioner - Internal Medicine 3072579572

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Health Alabama LLC CurrentSince Apr 3, 2023 Accepting new patients
VMD Primary Providers Central Florida PLLC Internal Medicine CurrentSince Jun 6, 2022 Accepting new patients
VMD Primary Providers Central Florida PLLC Internal Medicine CurrentSince Jun 6, 2022 Accepting new patients
Sacred Heart Health System Inc Past Accepting new patients
Elaine C Sharp MD PA PastSince Mar 1, 2015 Accepting new patients
VMD Primary Providers Central Florida PLLC Internal Medicine PastSince May 8, 2022 Accepting new patients

Locations

2318 Saint Stephens Rd
Mobile, AL 36617
Phone (251) 308-5689

4404 S Highway 27
Clermont, FL 34711

210 Southern Breeze Dr
Minneola, FL 34715

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

4650 Westway Park Blvd
Ste 206
Houston, TX 77041
Phone (346) 980-2725

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1316987571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 E SILVER SPRINGS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344705098",
            "telephone_number": "352-261-0400",
            "fax_number": "844-388-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 E SILVER SPRINGS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34470",
            "telephone_number": "352-261-0400",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSIKOGIOS",
        "first_name": "MICHAEL",
        "middle_name": "LEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME67398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377153900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.