Michael J Gurucharri, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME0045512 Issued in FL

Practice address

701 Manatee Ave W
Suite 202
Bradenton, FL 34205-8604

Phone

(941) 748-2455

Fax

(941) 746-4554

NPI assigned

Jul 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Otolaryngology

Education

University of South Florida College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manatee Hearing and Speech Center IncGroup PAC ID 2860474822, 11 clinicians

Ear, Nose, and Throat Associates of Manatee, PAGroup PAC ID 6406820026, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: michaelgurucharri@entofmanatee.emadirect.md

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.

• Ear, Nose, and Throat Associates of Manatee, PA

  • Specialist
  • Bradenton, FL
  • NPI 1730230764
  Medicare reassignment Care Compare group NPD
• Manatee Hearing & Speech Center, Inc.

  • Audiologist
  • Bradenton, FL
  • NPI 1215939590

  Otolaryngology

  Medicare reassignment Care Compare group NPD
• Manatee Hearing & Speech Center Inc

  • Specialist
  • Bradenton, FL
  • NPI 1255686515
  NPD
• Manatee Hearing & Speech Center Inc

  • Specialist
  • Sun City Center, FL
  • NPI 1568719904
  NPD

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1548269293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVE W",
            "address_2": "SUITE 202",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058604",
            "telephone_number": "941-748-2455",
            "fax_number": "941-746-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVE W",
            "address_2": "SUITE 202",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058604",
            "telephone_number": "941-748-2455",
            "fax_number": "941-746-4554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8340 Lakewood Ranch Blvd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342025185",
            "country_code": "US",
            "telephone_number": "941-748-2455",
            "fax_number": "941-746-4554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "772 Cortaro Dr",
            "address_purpose": "LOCATION",
            "city": "Ruskin",
            "state": "FL",
            "postal_code": "335736811",
            "country_code": "US",
            "telephone_number": "941-748-2455",
            "fax_number": "941-746-4554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURUCHARRI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME0045512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "30861",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "624893",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelgurucharri@entofmanatee.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "HISP Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 Manatee Ave W",
            "address_2": "SUITE 202",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342058604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gulfside Behavioral Care NP Inc
• Gulfside Psychology Inc
• Jennifer Gunn, MS, OTR/L
• Amit Kumar Gupta, MD
• Vivek Gupta, MD
• Antonieta Gutierrez, MD
• Felix Gutierrez, L.M.T.
• Jacob Lennon Gutierrez, PT
• Luis C Gutierrez, MD
• Ana Guzman, PTA

• Otolaryngology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.
• 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.