Individual provider Active NPI

Albert M Michael, M.D.

  • Emergency Medicine Physician
  • Port Orange, FL
National Provider Identifier
1396912184
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME108947 Issued in FL
Practice address
1300 Osprey Nest Lane
Port Orange, FL 32128
Phone
(407) 970-2255
NPI assigned
May 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME108947 FL Primary

Addresses

Primary practice location

1300 Osprey Nest Lane
Port Orange, FL 32128

Mailing address

1300 Osprey Nest LN
Port Orange, FL 32128-7160
Phone (407) 970-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY2 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
I20110726000448 FL Practitioner - Emergency MedicinePractitioner - Family Practice 7618145277 Reassigns benefits to 4 organizations
I20231107000326 KY Practitioner - Emergency Medicine 7618145277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

1401 W Seminole Blvd
Central Florida Regional Hospital
Sanford, FL 32771-6743
Phone (407) 321-4500

Hospital & facility affiliations

  • Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 4, 2023 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Concord Medical Group of Kentucky PLLC Emergency Medicine CurrentSince Apr 2, 2024 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Halifax Healthcare Systems Inc Emergency Medicine CurrentSince Aug 10, 2017 Accepting new patients
Jax Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Advance Technological Radiology, PA Past Accepting new patients
Emergency Physician Specialists Inc Emergency Medicine PastSince Feb 1, 2013 Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

3300 E Halifax Crossing Blvd
Deltona, FL 32725
Phone (386) 425-1800

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2361 N Semoran Blvd
Orlando, FL 32807
Phone (407) 359-6010

8300 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 359-6007

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1396912184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 OSPREY NEST LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287160",
            "telephone_number": "407-970-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OSPREY NEST LANE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32128",
            "telephone_number": "407-970-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "ALBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME108947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.