Individual provider Active NPI

Michael Francis Augustino, MD

  • Obstetrics & Gynecology Physician
  • Pembroke Pines, FL
National Provider Identifier
1508846106
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME47828 Issued in FL
Practice address
603 N Flamingo Rd
#360A
Pembroke Pines, FL 33028-1023
Phone
(954) 436-7667
Fax
(954) 889-0131
NPI assigned
Jan 19, 2006
Last updated
Apr 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME47828 FL Primary

Addresses

Primary practice location

603 N Flamingo Rd
#360A
Pembroke Pines, FL 33028-1023

Mailing address

603 N Flamingo Rd
Suite 360a
Pembroke Pines, FL 33028-1023
Phone (954) 436-7667

Other identifiers 2

IdentifierTypeStateIssuer
07240OtherFLBCBS
055969500MedicaidFL

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
I20040525000713 FL Practitioner - Obstetrics/Gynecology 6204817497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York at Buffalo School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

1605 Town Ctr Cir
Weston, FL 33326-3637
Phone (954) 436-7667

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME47828FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Jan 12, 2009 Accepting new patients
All Womens Healthcare of South Florida Inc Obstetrics & Gynecology Past Accepting new patients
All Womens Healthcare of Southern Florida Inc Obstetrics & Gynecology Past Accepting new patients
FWC Perinatal, LLC Past Accepting new patients
All Womens Healthcare of Southern Florida Inc Obstetrics & Gynecology Past Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

1951 SW 172nd Ave
Ste 312
Miramar, FL 33029
Phone (954) 432-3224

10081 Pines Blvd
Ste B
Pembroke Pines, FL 33024
Phone (954) 251-1175

603 N Flamingo Rd
Ste 360
Pembroke Pines, FL 33028
Phone (954) 430-4085

603 N Flamingo Rd
Ste 360A
Pembroke Pines, FL 33028
Phone (954) 384-2522

601 N Flamingo Rd
Ste 402
Pembroke Pnes, FL 33028
Phone (954) 437-2229

1601 Town Center Blvd
Weston, FL 33326
Phone (954) 389-4000

1605 Town Center Blvd
Weston, FL 33326
Phone (954) 436-7667

1605 Town Center Blvd
Ste A
Weston, FL 33326

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHCBCA/Endpoint/AHCBCA
  • Direct secure messaging: maugustino12921@mhsdirect.net

Organizations & group practices 5

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.

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1508846106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "SUITE 360A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281023",
            "telephone_number": "954-436-7667",
            "fax_number": "954-889-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "#360A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281023",
            "telephone_number": "954-436-7667",
            "fax_number": "954-889-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTINO",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME47828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07240",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055969500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.