Individual provider Active NPI

Michael Simmons, DPM,FACFAS

  • Primary Podiatric Medicine Podiatrist
  • Homestead, FL
National Provider Identifier
1447349915
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO-0002754 Issued in FL
Practice address
975 Baptist Way
#101
Homestead, FL 33033-7600
Phone
(305) 246-4774
Fax
(305) 248-4086
NPI assigned
Oct 12, 2006
Last updated
Apr 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X PO-0002754 FL Primary

Addresses

Primary practice location

975 Baptist Way
#101
Homestead, FL 33033-7600

Mailing address

975 Baptist Way
#101
Homestead, FL 33033-7600
Phone (305) 246-4774

Other identifiers 1

IdentifierTypeStateIssuer
390443100MedicaidFL

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
I20100916001068 FL Practitioner - Podiatry 1456258508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southernmost Foot and Ankle Specialists PAGroup PAC ID 9638076771, 4 clinicians

Practice addresses (Care Compare)

381 N Krome Ave
Suite 112
Homestead, FL 33030-6047
Phone (305) 246-4774

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1081
Removal or shaving of skin growth1043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO-0002754FLMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southernmost Foot and Ankle Specialists PA Primary Podiatric Medicine CurrentSince Oct 14, 1998 Accepting new patients
Miimii Thae DPM, P.a CurrentSince Sep 1, 2024 Accepting new patients
Endocrinology Specialists of South Florida, Inc Past Accepting new patients

Locations

381 N Krome Ave
Ste 112
Homestead, FL 33030
Phone (305) 246-4774

975 Baptist Way
#101
Homestead, FL 33033
Phone (305) 246-4774

13155 SW 134th St
Ste 212
Miami, FL 33186

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1447349915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "address_2": "#101",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "305-246-4774",
            "fax_number": "305-248-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "address_2": "#101",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "305-246-4774",
            "fax_number": "305-248-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MICHAEL",
        "credential": "DPM,FACFAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO-0002754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390443100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.