Individual provider Active NPI

Maryann Mikhail, MD

  • Dermatology Physician
  • Miami Beach, FL
National Provider Identifier
1437301645
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME141943 Issued in FL
Practice address
555 Washington Ave Ste 210
Miami Beach, FL 33139-6639
Phone
(305) 243-6704
Fax
(305) 243-3503
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME141943 FL Primary
Dermatology Physician 207N00000X 251813 NY

Addresses

Primary practice location

555 Washington Ave Ste 210
Miami Beach, FL 33139-6639

Mailing address

555 Washington Ave Ste 210
Miami Beach, FL 33139-6639
Phone (305) 243-6704

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200106001116 FL Practitioner - Dermatology 5294889382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Derm Group LLPGroup PAC ID 9335478908, 32 clinicians

Practice addresses (Care Compare)

2870 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1814
Phone (954) 666-3736

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions185
Skin biopsy89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME141943FLMDDermatology Physician
251813NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
The Derm Group LLP Dermatology CurrentSince Jan 1, 2021 Accepting new patients
Francisco Flores MD PA Dermatology Current Accepting new patients
Bimc Faculty Practice Dermatology Past Accepting new patients
Beth Israel Medical Center Dermatology Past Accepting new patients
St Lukes Roosevelt Community Care Dermatology Past Accepting new patients

Locations

2870 E Oakland Park Blvd
Ft Lauderdale, FL 33306
Phone (954) 666-3736

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

11760 SW 40th St
Ste 451
Miami, FL 33175
Phone (305) 227-9233

1611 NW 12th Ave
Fl 2
Miami, FL 33136
Phone (305) 585-5326

1611 NW 12th Ave
Fl Second
Miami, FL 33136
Phone (305) 585-6903

1475 NW 12th Ave
#2
Miami, FL 33136

555 Washington Ave
Ste 210
Miami Beach, FL 33139
Phone (305) 672-1233

14601 SW 29th St
Ste 206
Miramar, FL 33027
Phone (954) 885-5551

11924 Forest Hill Blvd
Ste 10A411
Wellington, FL 33414

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00136
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00135

Organizations & group practices 7

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1437301645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON AVE STE 210",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396639",
            "telephone_number": "305-243-6704",
            "fax_number": "305-243-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON AVE STE 210",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396639",
            "telephone_number": "305-243-6704",
            "fax_number": "305-243-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAIL",
        "first_name": "MARYANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME141943",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "251813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.