Active NPI
Jason Alan Mishal, M.D.
- Anesthesiology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME109967
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003973300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME109967 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Miami Anesthesia Services LLC | Anesthesiology | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
-
- Anesthesiology Physician
- Aventura, FL
- NPI 1821475179
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Miami, FL
- NPI 1588063176
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
Anesthesiology
-
- Anesthesiology Physician
- Ft Lauderdale, FL
- NPI 1699763862
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.