Individual provider Active NPI

Paul Michael, MD

  • Interventional Cardiology Physician
  • Sebring, FL
National Provider Identifier
1477879229
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME124220 Issued in FL
Practice address
4240 Sun N Lake Blvd Ste 202
Sebring, FL 33872-1944
Phone
(863) 471-3926
Fax
(863) 385-3093
NPI assigned
Apr 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME124220 FL
Cardiovascular Disease Physician 207RC0000X ME124220 FL
Interventional Cardiology Physician 207RI0011X ME124220 FL Primary

Addresses

Primary practice location

4240 Sun N Lake Blvd Ste 202
Sebring, FL 33872-1944

Mailing address

4240 Sun N Lake Blvd Ste 202
Sebring, FL 33872-1944
Phone (863) 471-3926

Other identifiers 2

IdentifierTypeStateIssuer
ME124220OtherFLMD MEDICAL LICENSE
015021200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drpaulmiichael@gmail.com Direct

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
I20150904002348 FL Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 1658553607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System-Sunbelt IncGroup PAC ID 0749232445, 100 clinicians

Practice addresses (Care Compare)

1210 US Hwy 27 N
Lake Placid, FL 33852-7948
Phone (863) 465-3777

4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 314-4466

4240 Sun N Lake Blvd
Sebring, FL 33872-1944

4421 Sun N Lake Blvd
Sebring, FL 33872-2172
Phone (863) 382-2225

Hospital & facility affiliations

  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • Adventhealth Wauchula Hospital, Wauchula, FL, CCN 101300
  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting58
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME124220FLMDInterventional Cardiology Physician

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc Internal Medicine CurrentSince Dec 28, 2023 Accepting new patients
JFK Internal Medicine Faculty Practice, LLC CurrentSince Mar 1, 2020 Accepting new patients
Independent Multispecialty Group of Florida LLC Internal Medicine PastSince Jan 1, 2019 Accepting new patients

Locations

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

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

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

4240 Sun N Lake Blvd
Ste 202
Sebring, FL 33872
Phone (863) 471-3926

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: pmichael2225329@adventhealth.direct-ci.com

Organizations & group practices 4

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 3

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": "1271548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1477879229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 SUN N LAKE BLVD STE 202",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338721944",
            "telephone_number": "863-471-3926",
            "fax_number": "863-385-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 SUN N LAKE BLVD STE 202",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338721944",
            "telephone_number": "863-471-3926",
            "fax_number": "863-385-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-18",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME124220",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME124220",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME124220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD MEDICAL LICENSE",
            "identifier": "ME124220",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015021200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drpaulmiichael@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2609 W Woolbright Rd Ste 4",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334366634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.