Individual provider Active NPI

Michelle L Lister, MD

  • Cardiovascular Disease Physician
  • Aventura, FL
National Provider Identifier
1447259486
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME69939 Issued in FL
Practice address
21097 NE 27TH CT
Suite 100
Aventura, FL 33180-1204
Phone
(305) 792-0012
Fax
(305) 792-0030
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME69939 FL Primary

Addresses

Primary practice location

21097 NE 27TH CT
Suite 100
Aventura, FL 33180-1204

Mailing address

3801 Biscayne Blvd
3Rd Floor
Miami, FL 33137-9800
Phone (305) 571-0620

Other identifiers 1

IdentifierTypeStateIssuer
260903700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MICHELLE.LISTER@hca4.eclinicaldirectplus.com

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
I20050721000776 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335176288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3801 Biscayne Blvd
Suite 300
Miami, FL 33137-9800
Phone (305) 571-0620

Hospital & facility affiliations

  • HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida International Cardiology Consultants Inc Cardiovascular Disease CurrentSince Sep 6, 2024 Accepting new patients
Biscayne Echo Associates Inc Cardiovascular Disease CurrentSince Aug 1, 2020 Accepting new patients
University of Miami Past Accepting new patients

Locations

2801 NE 213th St
Ste 1201
Aventura, FL 33180
Phone (305) 792-0012

2627 NE 203rd St
Ste 208
Aventura, FL 33180
Phone (305) 792-0012

10720 Caribbean Blvd
Ste 420
Cutler Bay, FL 33189
Phone (786) 293-9544

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

3801 Biscayne Blvd
Fl 3
Miami, FL 33137

21097 NE 27th Ct
Ste 100
Miami, FL 33180
Phone (305) 792-0012

3801 Biscayne Blvd
Ste 300
Miami, FL 33137
Phone (305) 673-0601

9299 SW 152nd St
Ste 102
Palmetto Bay, FL 33157
Phone (305) 378-4624

Interoperability endpoints

  • Direct secure messaging: michelle.lister@hca4.eclinicaldirectplus.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.

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1447259486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BISCAYNE BLVD",
            "address_2": "3RD FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331379800",
            "telephone_number": "305-571-0620",
            "fax_number": "305-576-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT",
            "address_2": "SUITE 100",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801204",
            "telephone_number": "305-792-0012",
            "fax_number": "305-792-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME69939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260903700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MICHELLE.LISTER@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "21097 NE 27th Ct",
            "address_2": "SUITE 100",
            "city": "Aventura",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331801204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.