Individual provider Active NPI

Michael Phillip Cartales, DC

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1528150349
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9717 Issued in FL
Practice address
1712 Cape Coral Pkwy E
Cape Coral, FL 33904-9620
Phone
(239) 540-5433
Fax
(239) 549-3376
NPI assigned
Sep 29, 2006
Last updated
Mar 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9717 FL Primary

Addresses

Primary practice location

1712 Cape Coral Pkwy E
Cape Coral, FL 33904-9620

Mailing address

1712 Cape Coral Pkwy E
Cape Coral, FL 33904-9620
Phone (239) 540-5433

Other identifiers 2

IdentifierTypeStateIssuer
0811581MedicaidOH
20473OtherOHANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512001015 FL Practitioner - Chiropractic 8022042498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1712 Cape Coral Pkwy E
Cape Coral, FL 33904-9620
Phone (239) 540-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CH9717FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alert Care Chiropractic, Inc. Chiropractor Current Accepting new patients
Alert Care Chiropractic, Inc. Chiropractor CurrentSince Nov 1, 1996 Accepting new patients
Activelife Family Chiropractic, P.a. Chiropractor CurrentSince May 5, 2010 Accepting new patients

Locations

1712 Cape Coral Pkwy E
Cape Coral, FL 33904
Phone (239) 540-5433

9882 Colerain Ave
Cincinnati, OH 45251
Phone (513) 385-2271

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1528150349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 CAPE CORAL PKWY E",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049620",
            "telephone_number": "239-540-5433",
            "fax_number": "239-549-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 CAPE CORAL PKWY E",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049620",
            "telephone_number": "239-540-5433",
            "fax_number": "239-549-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTALES",
        "first_name": "MICHAEL",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0811581",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "20473",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.