Individual provider Active NPI

Joseph W Michienzi, M.D.

  • Plastic Surgery Physician
  • South Miami, FL
National Provider Identifier
1578758496
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME99835 Issued in FL
Practice address
6705 S Red Rd Ste 418
South Miami, FL 33143
Phone
(305) 669-4426
NPI assigned
Sep 13, 2007
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME99835 FL Primary

Addresses

Primary practice location

6705 S Red Rd Ste 418
South Miami, FL 33143

Mailing address

1100 Brickell Bay Dr
Unit 310987
Miami, FL 33231-1250
Phone (305) 669-4426

Other practice location 1

6705 S Red Rd Ste 418
South Miami, FL 33143
Phone (305) 669-4426

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
I20090317000246 FL Practitioner - Plastic and Reconstructive Surgery 2466519574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Virginia Commonwealth Univ School of Dentistry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11750 SW 40 St
Kendall Regional Medical Center
Miami, FL 33175-3530
Phone (305) 223-3000

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7124

6200 Sunset Dr
Suite 402
South Miami, FL 33143-4829
Phone (305) 665-8773

6200 SW 73Rd St
South Miami Hospital
Miami, FL 33143-4829
Phone (786) 596-1960

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-1960

Hospital & facility affiliations

National Provider Directory

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

Organizations & group practices 1

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1578758496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BRICKELL BAY DR",
            "address_2": "UNIT 310987",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332311250",
            "telephone_number": "305-669-4426",
            "fax_number": "305-665-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 S RED RD STE 418",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-669-4426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6705 S Red Rd Ste 418",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "33143",
            "country_code": "US",
            "telephone_number": "305-669-4426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHIENZI",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME99835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.