Active NPI
Dennis P Mihale, MD
- Emergency Medicine Physician
- Jacksonville, FL
National Provider Identifier
1508025859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME55169
- Practice address
- 7213 Ramoth Dr
Jacksonville, FL 32226-3200 - Phone
- (813) 494-6987
- NPI assigned
- Jun 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME55169 | FL | Primary |
Addresses
Primary practice location
7213 Ramoth Dr
Jacksonville, FL 32226-3200
Mailing address
7213 Ramoth Dr
Jacksonville, FL 32226-3200
Phone (813) 494-6987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NJ, NY, GA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME55169 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis Mihale MD of Ny PC | Current | Accepting new patients | |
| Upward Health of Arizona LLC | Current | Accepting new patients |
Locations
80 Arkay Dr
Ste 230
Hauppauge, NY 11788
Phone (631) 540-8225
188 Valley St
Ste 201
Providence, RI 02909
Phone (401) 648-6200
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.
-
- General Practice Physician
- Hauppauge, NY
- NPI 1871172957
-
- General Practice Physician
- Phoenix, AZ
- NPI 1801526009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1508025859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7213 RAMOTH DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322263200",
"telephone_number": "813-494-6987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7213 RAMOTH DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322263200",
"telephone_number": "813-494-6987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIHALE",
"first_name": "DENNIS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-02",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME55169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.