Individual provider Active NPI

Peter S. Mikhail, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • New Port Richey, FL
National Provider Identifier
1518030535
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
16419 Issued in ND
Practice address
7657 Cita LN
New Port Richey, FL 34653-6221
Phone
(940) 764-5400
Fax
(940) 764-5410
NPI assigned
Nov 16, 2006
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101248063 VA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X P4594 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME95264 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 4301500326 MI
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X E12623 AR
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 16419 ND Primary

Addresses

Primary practice location

7657 Cita LN
New Port Richey, FL 34653-6221

Mailing address

7657 Cita LN
New Port Richey, FL 34653-6221
Phone (940) 597-6339

Other practice location 1

2708 S Rife Medical Ln Ste 210
Rogers, AR 72758-1456
Phone (479) 338-3888

Other practice location 2

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000

Other identifiers 2

IdentifierTypeStateIssuer
1518030535MedicaidVA
278602800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AR, MI, ND4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20071003000163 FL Practitioner - Thoracic Surgery 7810082096 Reassigns benefits to 1 organization
I20191030002029 AR Practitioner - Thoracic Surgery 7810082096 Reassigns benefits to 2 organizations
I20191216002762 MI Practitioner - Thoracic Surgery 7810082096 Reassigns benefits to 1 organization
I20210129001408 ND Practitioner - Thoracic Surgery 7810082096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
McGill University, Faculty of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity HealthGroup PAC ID 7911816020, 292 clinicians
St Alexius Medical CenterGroup PAC ID 8426960865, 239 clinicians

Practice addresses (Care Compare)

2305 37TH Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000

900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)15
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E12623ARMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101248063VAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Dec 1, 2019 Accepting new patients
St Alexius Medical Center CurrentSince Jan 28, 2021 Accepting new patients
Trinity Health Current Accepting new patients
Brain and Spine Neuroscience Institute, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Epsaltos Healthcare,PA CurrentSince Apr 3, 2017 Accepting new patients
St. Alexius Medical Center CurrentSince Jan 28, 2021 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Dec 1, 2019 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 8, 2019 Accepting new patients
Cardiovascular and Thoracic Surgery, PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 3, 2017 Accepting new patients
Brain and Spine Neuroscience Institute, LLC CurrentSince Aug 28, 2023 Accepting new patients
Trinity Health CurrentSince Oct 24, 2024 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 8, 2019 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 8, 2019 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 8, 2019 Accepting new patients
Trinity Health CurrentSince Oct 24, 2024 Accepting new patients
Trinity Hospitals Past Accepting new patients
Orlando Health Inc Past Accepting new patients
Orlando Health Inc Past Accepting new patients
Orlando Health, Inc. Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7303 Rogers Ave
Ste 302
Fort Smith, AR 72903
Phone (479) 452-1188

2708 S Rife Medical Ln
Ste 210
Rogers, AR 72758
Phone (479) 338-3888

16506 Pointe Village Dr
Ste 107
Lutz, FL 33558
Phone (813) 336-4461

17849 Hunting Bow Cir
Ste 101
Lutz, FL 33558
Phone (813) 336-4461

7657 Cita Ln
New Prt Rchy, FL 34653
Phone (727) 312-4844

7657 Cita Ln
Unit 101
New Prt Rchy, FL 34653
Phone (727) 232-3922

7657 Cita Ln
Unit 102
New Prt Rchy, FL 34653

3519 Palm Harbor Blvd
Ste B
Palm Harbor, FL 34683
Phone (813) 336-4461

8175 Reliable Pkwy
Chicago, IL 60686

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

1200 E Michigan Ave
Ste 775
Lansing, MI 48912
Phone (517) 364-5160

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286

2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 7

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1518030535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7657 CITA LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536221",
            "telephone_number": "940-597-6339",
            "fax_number": "727-312-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7657 CITA LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536221",
            "telephone_number": "940-764-5400",
            "fax_number": "940-764-5410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2708 S Rife Medical Ln Ste 210",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727581456",
            "country_code": "US",
            "telephone_number": "479-338-3888",
            "fax_number": "479-338-4453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-418-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKHAIL",
        "first_name": "PETER",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101248063",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "P4594",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME95264",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301500326",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AR",
            "license": "E12623",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "ND",
            "license": "16419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518030535",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278602800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.