Active NPI
Paul Michael, MD
- Interventional Cardiology Physician
- Sebring, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME124220
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME124220 | Other | FL | MD MEDICAL LICENSE |
| 015021200 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150904002348 | FL | Practitioner - Interventional Cardiology | 1658553607 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of Miami, LM Miller School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Adventhealth Wauchula
- Winter Haven Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 58 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME124220 | FL | MD | Interventional Cardiology Physician |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System-Sunbelt Inc | Internal Medicine | Current | Accepting new patients |
| JFK Internal Medicine Faculty Practice, LLC | Current | Accepting new patients | |
| Independent Multispecialty Group of Florida LLC | Internal Medicine | Past | 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
- 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.
-
- Rural Health Clinic/Center
- Avon Park, FL
- NPI 1881850956
Internal Medicine
-
- Surgery Physician
- Wellington, FL
- NPI 1346745122
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.