Active NPI
Michael J Fialho, MD
- Internal Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME69219
- Practice address
- 1072 Arlington Rd N
Jacksonville, FL 32211-5811 - Phone
- (904) 931-9192
- Fax
- (877) 550-2141
- NPI assigned
- Apr 27, 2006
- Last updated
- Jun 6, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME69219 | FL | Primary |
Addresses
Primary practice location
1072 Arlington Rd N
Jacksonville, FL 32211-5811
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151
Other practice location 1
5238-16 Norwood Ave
Jacksonville, FL 32208-5005
Phone (904) 861-1222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5520575 | Other | AETNA | |
| 28341 | Other | BCBS | |
| 379062200 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.fialho@conviva.eclinicaldirectplus.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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archwell Health Medical of Florida, LLC | Internal Medicine | Current | Accepting new patients |
| Conviva Medical Center Management LLC | Internal Medicine | Current | Accepting new patients |
| Physicians Medical Center, Inc. | Past | Accepting new patients |
Locations
4520 E Bay Dr
Clearwater, FL 33764
Phone (727) 405-7188
5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050
5238-16 Norwood Ave
Jacksonville, FL 32208
Phone (904) 467-7512
1072 Arlington Rd N
Jacksonville, FL 32211
Phone (904) 931-9192
6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114
543 Tamiami Trl S
Venice, FL 34285
Phone (941) 837-8002
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Interoperability endpoints
- michael.fialho@conviva.eclinicaldirectplus.com
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.
-
- Internal Medicine Physician
- Venice, FL
- NPI 1497453450
-
dba Conviva Care Center
- Internal Medicine Physician
- Miami, FL
- NPI 1649324278
-
- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1063454858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1548227226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250",
"telephone_number": "888-987-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 ARLINGTON RD N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322115811",
"telephone_number": "904-931-9192",
"fax_number": "877-550-2141"
}
],
"practiceLocations": [
{
"address_1": "5238-16 Norwood Ave",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322085005",
"country_code": "US",
"telephone_number": "904-861-1222",
"fax_number": "904-861-2688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIALHO",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME69219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5520575",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "28341",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "379062200",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.fialho@conviva.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5238-16 Norwood Ave",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322085005",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 6, 2025; 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.