Individual provider Active NPI

Michael A. Keating, MD

  • Pediatric Urology Physician
  • Orlando, FL
National Provider Identifier
1447369202
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
ME69882 Issued in FL
Practice address
615 E Princeton St
Suite 310
Orlando, FL 32803-1456
Phone
(407) 303-5781
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME69882 FL
Pediatric Urology Physician 2088P0231X ME69882 FL Primary

Addresses

Primary practice location

615 E Princeton St
Suite 310
Orlando, FL 32803-1456

Mailing address

615 E Princeton St
Suite 310
Orlando, FL 32803-1456
Phone (407) 303-5781

Other identifiers 3

IdentifierTypeStateIssuer
156281MedicaidLA
1981346MedicaidNY
379399100MedicaidFL

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
I20101005000502 FL Practitioner - Urology 1951593235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

615 E Princeton St
Suite 310
Orlando, FL 32803-1468
Phone (407) 303-5781

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME69882FLMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Oct 1, 2010 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 1, 2010 Accepting new patients

Locations

1530 Celebration Blvd
Ste 408
Celebration, FL 34747
Phone (407) 392-2777

305 Memorial Medical Pkwy
Ste 408
Daytona Beach, FL 32117

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

6609 N Wickham Rd
Ste 104
Melbourne, FL 32940
Phone (407) 303-7280

1502 N Donnelly St
Ste 103
Mount Dora, FL 32757
Phone (352) 383-0624

615 E Princeton St
Ste 310
Orlando, FL 32803
Phone (407) 303-5781

3100 E Fletcher Ave
Ste 126
Tampa, FL 33613
Phone (813) 467-4242

2000 Fowler Grove Blvd
#200
Winter Garden, FL 34787
Phone (407) 303-1444

Interoperability endpoints

  • Direct secure messaging: mkeating73803@adventhealth.direct-ci.com

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1447369202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST",
            "address_2": "SUITE 310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031456",
            "telephone_number": "407-303-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST",
            "address_2": "SUITE 310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031456",
            "telephone_number": "407-303-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME69882",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "FL",
            "license": "ME69882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156281",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1981346",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379399100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.