Individual provider Active NPI

Mario A Miglietta

  • Emergency Medicine Physician
  • Orlando, FL
National Provider Identifier
1366405607
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
82324 Issued in GA
Practice address
150 E Robinson St Unit 3301
Orlando, FL 32801-4363
Phone
(202) 802-5270
Fax
(706) 230-8971
NPI assigned
Apr 8, 2006
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB06920900 NJ
Emergency Medicine Physician 207P00000X 2664 AL
Emergency Medicine Physician 207P00000X 82324 GA Primary
Urgent Care Clinic/Center 261QU0200X 11080 FL

Addresses

Primary practice location

150 E Robinson St Unit 3301
Orlando, FL 32801-4363

Mailing address

150 E Robinson St Unit 3301
Orlando, FL 32801-4363
Phone (706) 761-7367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 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
I20190501002695 GA Practitioner - Emergency Medicine 0648364745 Reassigns benefits to 3 organizations
I20190621000146 FL Practitioner - Emergency Medicine 0648364745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

361 Commercial Dr
Savannah, GA 31406-3659
Phone (912) 355-6221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82324GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Physician Services, LLC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Emergency Group of Columbus, LLC Emergency Medicine CurrentSince Mar 7, 2019 Accepting new patients
Md4Er LLC CurrentSince Jun 27, 2019 Accepting new patients
St Josephs Candler Urgent Care Centers LLC Urgent Care CurrentSince Aug 23, 2024 Accepting new patients
St Josephs Candler Urgent Care Centers LLC Urgent Care CurrentSince Aug 23, 2024 Accepting new patients
Riverfront Medical Associates PC Emergency Medicine PastSince Aug 1, 2007 Accepting new patients

Locations

5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

64 Oracal Pkwy
Bldg 1
Ellabell, GA 31308
Phone (912) 214-7920

780 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 332-7262

101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945

107 Canal St
Pooler, GA 31322
Phone (912) 450-1945

13314 Highway 144
Ste C
Richmond Hill, GA 31324
Phone (912) 910-2010

3866 Belfast Keller Rd
Bldg A
Richmond Hill, GA 31324
Phone (912) 910-2720

5621 Highway 21 S
Rincon, GA 31326
Phone (912) 295-5860

361 Commercial Dr
Savannah, GA 31406
Phone (912) 355-6221

1096 Bermuda Run
Statesboro, GA 30458
Phone (912) 871-5150

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1366405607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E ROBINSON ST UNIT 3301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328014363",
            "telephone_number": "706-761-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E ROBINSON ST UNIT 3301",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328014363",
            "telephone_number": "202-802-5270",
            "fax_number": "706-230-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGLIETTA",
        "first_name": "MARIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB06920900",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "2664",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "82324",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "11080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.