Mark Michels, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

ME60054 Issued in FL

Practice address

3399 Pga Blvd
Ste 350
Palm Beach Gardens, FL 33410

Phone

(561) 624-0099

Fax

(561) 624-7373

NPI assigned

Jul 28, 2006

Last updated

Nov 30, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Retina Care Specialists PLLC

  • Ophthalmology Physician
  • Palm Beach Gardens, FL
  • NPI 1912192139
  Medicare reassignment NPD Authorized official
• Stuart Eye Institute PA

  • Ophthalmology Physician
  • Stuart, FL
  • NPI 1043283195
  Medicare reassignment NPD
• Retina Care Specialists

  • Ophthalmology Physician
  • Palm Beach Gardens, FL
  • NPI 1871534719
  NPD (past) Authorized official
• Retina Care Specialists LLP

  • Ophthalmology Physician
  • West Palm Beach, FL
  • NPI 1760053029
  Authorized official Same address or phone
• Retina Care Specialists LLP

  • Ophthalmology Physician
  • Stuart, FL
  • NPI 1982275145
  Authorized official Same address or phone
• Delrowe Eye Care, PA

  • Ophthalmology Physician
  • Port St Lucie, FL
  • NPI 1760412456
  NPD (past)
• Florida Vision Institute Inc

  • Ophthalmology Physician
  • Stuart, FL
  • NPI 1083614366
  NPD (past)
• Vitreo Retinal Consultants of the Palm Beaches PA

  • Ophthalmology Physician
  • West Palm Beach, FL
  • NPI 1871550996
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1609880178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 PGA BLVD",
            "address_2": "STE 350",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-624-0099",
            "fax_number": "561-624-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 PGA BLVD",
            "address_2": "STE 350",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-624-0099",
            "fax_number": "561-624-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELS",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME60054",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME60054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056453200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria-a S Michaux, RD, LDN
• Frantzie Michel, ARNP
• Michele L Wilson
• Elizabeth W Michelena, LCSW, CAP
• Michelle Carrillo-Massa, M.D., P.a.
• Microsurgical Solutions, LLC
• Harry C Midgley, MD
• Midtown Imaging LLC
• Margaret Sidney Mifsud
• Michaela Mignemi, DPT

• Retina Specialist (Ophthalmology) Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Retina Specialist (Ophthalmology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.

Verify at the official NPI Registry.