Individual provider Active NPI

Jason Alan Mishal, M.D.

  • Anesthesiology Physician
  • Miami, FL
National Provider Identifier
1346459120
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME109967 Issued in FL
Practice address
3100 SW 62ND Ave
Miami Chidrens Anesthesia
Miami, FL 33155-3009
Phone
(305) 663-8456
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME109967 FL Primary

Addresses

Primary practice location

3100 SW 62ND Ave
Miami Chidrens Anesthesia
Miami, FL 33155-3009

Mailing address

3100 SW 62ND Ave
Miami Chidrens Anesthesia
Miami, FL 33155-3009

Other identifiers 1

IdentifierTypeStateIssuer
003973300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 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
I20110923000532 FL Practitioner - Anesthesiology 1355512278 Reassigns benefits to 3 organizations
I20260127003225 MI Practitioner - Anesthesiology 1355512278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME109967FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Feb 5, 2025 Accepting new patients
Miami Anesthesia Services LLC Anesthesiology CurrentSince Feb 5, 2025 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Spectrum Health Primary Care Partners Anesthesiology CurrentSince Mar 9, 2026 Accepting new patients
Anesco North Broward LLC Anesthesiology Past Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1346459120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "address_2": "MIAMI CHIDRENS ANESTHESIA",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "address_2": "MIAMI CHIDRENS ANESTHESIA",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-663-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHAL",
        "first_name": "JASON",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME109967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003973300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.