Active NPI
Michael Mizrachy, M.D.
- Pediatrics Physician
- Boca Raton, FL
National Provider Identifier
1588742274
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 18, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME80526
- Practice address
- 5716 Arbor Club Way Apt 7
Boca Raton, FL 33433-5746 - Phone
- (954) 544-0745
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME80526 | FL | Primary |
Addresses
Primary practice location
5716 Arbor Club Way Apt 7
Boca Raton, FL 33433-5746
Mailing address
5716 Arbor Club Way Apt 7
Boca Raton, FL 33433-5746
Phone (954) 544-0745
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265936100 | Medicaid | FL | |
| 35616 | Other | FL | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME80526 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Broward Pediatrics, P.a. | Pediatrics | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Plantation, FL
- NPI 1952450520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621728000000",
"number": "1588742274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5716 ARBOR CLUB WAY APT 7",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335746",
"telephone_number": "954-544-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5716 ARBOR CLUB WAY APT 7",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335746",
"telephone_number": "954-544-0745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZRACHY",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2021-05-23",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME80526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265936100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "35616",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.