Individual provider Active NPI

Doreen Michel, MD

  • General Practice Physician
  • Greenacres, FL
National Provider Identifier
1366638249
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1351 Issued in FL
Practice address
4010 S 57TH Ave Ste 101
Greenacres, FL 33463-4301
Phone
(561) 408-2169
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16880 PR
General Practice Physician 208D00000X ACN1351 FL Primary
General Practice Physician 208D00000X 4301115801 MI

Addresses

Primary practice location

4010 S 57TH Ave Ste 101
Greenacres, FL 33463-4301

Mailing address

4010 S 57TH Ave Ste 101
Greenacres, FL 33463-4301
Phone (561) 429-5950

Other practice location 1

29135 Ryan Rd Ste E
Warren, MI 48092-4282
Phone (248) 951-8928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, 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
I20190318001541 MI Practitioner - General Practice 9830439405 Reassigns benefits to 1 organization
I20230330001084 FL Practitioner - General Practice 9830439405

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16880PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenacres Health & Rehab LLC CurrentSince Feb 10, 2023 Accepting new patients
The Alignment Lounge Chiro West LLC Current Accepting new patients
The Alignment Lounge Chiro LLC Current Accepting new patients
Macomb Medical and Wellness Center PLLC CurrentSince Mar 1, 2019 Accepting new patients

Locations

4010 S 57th Ave
Ste 101
Greenacres, FL 33463
Phone (561) 408-2169

1431 E 12 Mile Rd
Madison Heights, MI 48071
Phone (248) 398-4614

29135 Ryan Rd
Ste E
Warren, MI 48092
Phone (248) 951-8928

27170 Dequindre Rd
Ste B
Warren, MI 48092
Phone (248) 843-5477

Organizations & group practices 4

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": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1366638249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 S 57TH AVE STE 101",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634301",
            "telephone_number": "561-429-5950",
            "fax_number": "561-328-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 S 57TH AVE STE 101",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634301",
            "telephone_number": "561-408-2169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29135 Ryan Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480924282",
            "country_code": "US",
            "telephone_number": "248-951-8928",
            "fax_number": "248-951-2978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "DOREEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "16880",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1351",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301115801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.