Individual provider Active NPI

Xanamaria Miguelez, MD

  • Obstetrics & Gynecology Physician
  • Fort Myers, FL
National Provider Identifier
1578756243
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME125195 Issued in FL
Practice address
9800 S Healthpark Dr Ste 205
Fort Myers, FL 33908-3630
Phone
(239) 343-7130
Fax
(239) 343-7185
NPI assigned
Aug 24, 2007
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 60245777 NY
Obstetrics & Gynecology Physician 207V00000X ME125195 FL Primary

Addresses

Primary practice location

9800 S Healthpark Dr Ste 205
Fort Myers, FL 33908-3630

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-7130

Other practice location 1

323 Sunny Isles Beach Blvd
Suite 602
Sunny Isles Beach, FL 33160
Phone (786) 274-8105

Other practice location 2

2845 NE 199th St
Aventura, FL 33180-3118
Phone (305) 692-1010

Other practice location 3

4302 Alton Rd Ste 920
Miami Beach, FL 33140-2890
Phone (053) 674-2655

Other identifiers 1

IdentifierTypeStateIssuer
115497400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address xmiguelez331092@Direct.leememorial.org Direct Lee Memorial Health System

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
I20170619000459 FL Practitioner - Obstetrics/Gynecology 9830286962 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

9800 S Healthpark Dr
Fort Myers, FL 33908-3630

9981 S Healthpark Dr
Fort Myers, FL 33908-3618

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60245777NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Jun 2, 2022 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Mar 11, 2020 Accepting new patients
Lee Memorial Health System CurrentSince Apr 23, 2023 Accepting new patients
Physician Practices of MSMC, LLC CurrentSince Jul 1, 2017 Accepting new patients
Jorge a Fernandez-Sanchez, MD, PA CurrentSince Jun 14, 2024 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Mar 11, 2020 Accepting new patients
Lee Health System Inc Obstetrics & Gynecology CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System Obstetrics & Gynecology CurrentSince Apr 23, 2023 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

650 Del Prado Blvd S
Ste 100
Cape Coral, FL 33990
Phone (239) 424-2060

15901 Bass Rd
Ste 100
Fort Myers, FL 33908
Phone (239) 343-6100

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

9800 S Healthpark Dr
Ste 205
Fort Myers, FL 33908
Phone (239) 343-7130

7100 W 20th Ave
Ste 803
Hialeah, FL 33016
Phone (305) 556-3122

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

2845 NE 199th St
Ste 250
Miami, FL 33180
Phone (305) 692-1080

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4302 Alton Rd
Ste 920
Miami Beach, FL 33140
Phone (305) 672-4222

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

323 Sunny Isles Blvd
Ste 602
Sunny Isles Beach, FL 33160
Phone (786) 274-8105

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
  • Direct secure messaging: xmiguelez331092@direct.leememorial.org

Organizations & group practices 10

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 1

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": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1578756243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-7130",
            "fax_number": "239-343-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 S HEALTHPARK DR STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083630",
            "telephone_number": "239-343-7130",
            "fax_number": "239-343-7185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 Sunny Isles Beach Blvd",
            "address_2": "Suite 602",
            "address_purpose": "LOCATION",
            "city": "Sunny Isles Beach",
            "state": "FL",
            "postal_code": "33160",
            "country_code": "US",
            "telephone_number": "786-274-8105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2845 NE 199th St",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331803118",
            "country_code": "US",
            "telephone_number": "305-692-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4302 Alton Rd Ste 920",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331402890",
            "country_code": "US",
            "telephone_number": "053-674-2655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIGUELEZ",
        "first_name": "XANAMARIA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "60245777",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME125195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115497400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xmiguelez331092@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "Lee Memorial Health System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.