Individual provider Active NPI

Michelle D Detweiler, DPM

  • Podiatrist
  • Doral, FL
National Provider Identifier
1447343033
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2403 Issued in FL
Practice address
8280 NW 27 St
Suite 505
Doral, FL 33122-1905
Phone
(305) 673-0033
Fax
(305) 673-9259
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO2403 FL
Foot Surgery Podiatrist 213ES0131X PO2403 FL
Podiatrist 213E00000X PO2403 FL Primary

Addresses

Primary practice location

8280 NW 27 St
Suite 505
Doral, FL 33122-1905

Mailing address

8200 NW 27 St
Ste 108
Doral, FL 33122-1902
Phone (786) 662-3893

Other identifiers 1

IdentifierTypeStateIssuer
390635100MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070425000647 FL Practitioner - Podiatry 0547366247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8200 NW 27 St
Suite 108
Doral, FL 33122-1906

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue14
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2403FLMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Foot & Ankle Associates, LLC Podiatrist CurrentSince Dec 1, 2006 Accepting new patients
Florida Foot & Ankle Associates LLC Podiatrist CurrentSince Dec 1, 2006 Accepting new patients
Florida Foot & Ankle Associates LLC Podiatrist Past Accepting new patients

Locations

475 Biltmore Way
Ste 108
Coral Gables, FL 33134
Phone (305) 442-1780

8200 NW 27th St
Ste 108
Doral, FL 33122
Phone (786) 662-3893

8280 NW 27th St
Ste 505
Doral, FL 33122
Phone (305) 673-0033

4302 Alton Rd
Ste 470
Miami Beach, FL 33140
Phone (305) 397-8236

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1447343033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 NW 27 ST",
            "address_2": "STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221902",
            "telephone_number": "786-662-3893",
            "fax_number": "786-662-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 NW 27 ST",
            "address_2": "SUITE 505",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221905",
            "telephone_number": "305-673-0033",
            "fax_number": "305-673-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWEILER",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2403",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO2403",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390635100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.