Mikhail Reznikov, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME132912 Issued in FL

Practice address

1524 Cypress Creek Road
Fort Lauderdale, FL 33309

Phone

(954) 205-2901

NPI assigned

Jun 16, 2006

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Miami Anesthesia Services LLCGroup PAC ID 1355651837, 168 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Miami Anesthesia Services LLC

  • Anesthesiology Physician
  • Aventura, FL
  • NPI 1821475179
  Medicare reassignment Care Compare group NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012
  Medicare reassignment NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711
  NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Miramar, FL
  • NPI 1730751090
  NPD
• Sheridan Healthcorp, Inc.

  • Anesthesiology Physician
  • North Miami Beach, FL
  • NPI 1578429460
  NPD
• Lakes Anesthesia, PLC

  • Anesthesiology Physician
  • Farmington Hills, MI
  • NPI 1144261967
  NPD (past)
• Michigan Interventional Pain Associates PLLC

  • Anesthesiology Physician
  • West Bloomfield, MI
  • NPI 1861819161
  NPD (past)
• The Berry Center, LLC

  dba Berry Center & The Berry Center

  • Ambulatory Surgical Clinic/Center
  • Farmington Hills, MI
  • NPI 1316994122
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1417991431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W CYPRESS CREEK RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 CYPRESS CREEK ROAD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-205-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNIKOV",
        "first_name": "MIKHAIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME132912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.envisionphysicianservices.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1525 W Cypress Creek Rd",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333091831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yordanka I Reyna
• Helen Therese Maria Reynolds, LMFT
• Waylon Reynolds
• Taraneh Rezaei Escobar
• Dmitriy Reznik, P.A.
• RFD1 PLLC
• RGR, LLC (Kidcare Nursing Services)
• Johnny D Rhoden, RN
• Jeanna L Rhoulhac, RD LDN CDE
• Rodolfo Pagador Rialubin Jr., RPT

• Anesthesiology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.