Active NPI
Michael J. Zarilla, PA
- Physician Assistant
- North Port, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9104038
- Practice address
- 18659 Tamiami TRL Ste a
North Port, FL 34287-7388 - Phone
- (941) 429-3416
- Fax
- (941) 429-3430
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9104038 | FL | Primary |
Addresses
Primary practice location
18659 Tamiami TRL Ste a
North Port, FL 34287-7388
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (941) 429-3416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA 9104038 | Other | FL | FLA DOH PA LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364
13807 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 257-1108
13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900
13823 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 888-0770
150 W McKenzie St
Punta Gorda, FL 33950-5500
Phone (941) 621-6476
171 Ctr Rd
Venice, FL 34285-5572
Phone (941) 499-5407
177 Ctr Rd
Venice, FL 34285-5572
Phone (941) 207-5350
18659 Tamiami TRL
Suite 1B
North Port, FL 34287-7388
Phone (941) 429-3416
18699 Tamiami TRL
North Port, FL 34287-7388
Phone (941) 429-3416
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
2315 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 613-2222
2335 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 787-7665
2343 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 629-2900
2675 Winkler Ave
Fort Myers, FL 33901-9328
2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328
4130 Tamiami TRL
Suite 2
Port Charlotte, FL 33952-9207
Phone (941) 787-7100
900 Pine St
Suite 221
Englewood, FL 34223-4458
Phone (941) 548-1708
Hospital & facility affiliations
- Millennium Home Care LLC
- Sarasota Memorial Hospital
- Sarasota Memorial Hospital - Venice
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9104038 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients |
Locations
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
18699 Tamiami Trl
North Port, FL 34287
Phone (941) 429-3416
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
18659 Tamiami Trl
Ste A
Venice, FL 34287
Phone (844) 366-9362
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- michael.zarilla.1@4290.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Oviedo, FL
- NPI 1972644631
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1700058583
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1386865574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "941-429-3416",
"fax_number": "941-429-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18659 TAMIAMI TRL STE A",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342877388",
"telephone_number": "941-429-3416",
"fax_number": "941-429-3430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARILLA",
"first_name": "MICHAEL",
"middle_name": "J.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9104038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLA DOH PA LICENSE #",
"identifier": "PA 9104038",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.