Michael Mercandetti MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MICHAEL MERCANDETTI MD PA

Practice address

1499 E Venice Ave Unit B
Venice, FL 34292-3207

Phone

(941) 584-4039

Fax

(941) 375-0097

NPI assigned

Mar 3, 2009

Organization subpart

No

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

Authorized official

Name

Michael Mercandetti, M.D.NPI 1669471959

Title

Physician

Phone

(941) 584-4039

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/498260/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Mercandetti, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Venice, FL
  • NPI 1669471959
  Medicare reassignment Authorized official
• Chelsea Kyle, APRN

  • Family Nurse Practitioner
  • Venice, FL
  • NPI 1902411283
  NPD

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1376783407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 E VENICE AVE UNIT B",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923207",
            "telephone_number": "941-584-4039",
            "fax_number": "941-375-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 E VENICE AVE UNIT B",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923207",
            "telephone_number": "941-584-4039",
            "fax_number": "941-375-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MERCANDETTI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "MERCANDETTI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "941-584-4039",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William John Mestrezat, MD
• Metrolina Infectious Diseases, P.a.
• Stephen Metz
• MG Venice Subtenant LLC
• MHC Area 8, LLC
• Michael O. Broder, OD, PA
• Michael T. McCormick & Associates PA
• Michael T. McCormick & Associates PA
• Michael W. Kemplin, MD, PA
• Jennifer Michalak

• Ophthalmology Physician in Venice, FL
• Providers in Venice, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.