Active NPI
Michael Farris Waters, MD
- Neurology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 327113
- Practice address
- 1 Gustave L Levy PL FL 12
New York, NY 10029-6574 - Phone
- (212) 241-7076
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | 52108 | AZ | |
| Vascular Neurology Physician | 2084V0102X | 327113 | NY | |
| Neurology Physician | 2084N0400X | 327113 | NY | Primary |
| Specialist | 174400000X | A78335 | CA | |
| Neurology Physician | 2084N0400X | ME86883 | FL | |
| Neurology Physician | 2084N0400X | 52108 | AZ |
Addresses
Primary practice location
1 Gustave L Levy PL FL 12
New York, NY 10029-6574
Mailing address
2910 N 3Rd Ave # 470
Phoenix, AZ 85013-4434
Phone (602) 406-6262
Other practice location 1
240 W Thomas Rd # 403
Phoenix, AZ 85013
Phone (602) 406-6262
Other practice location 2
2910 N 3rd Ave # 470
Phoenix, AZ 85013-4434
Phone (602) 406-6262
Other practice location 3
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 273-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279658900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AZ, TX, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Florida College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Gustave Levy Place
Mount Sinai Emergency Room
New York, NY 10029-6500
Phone (212) 241-4572
5 E 98TH St 2ND FL
New York, NY 10029-6501
Phone (212) 241-4572
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME86883 | FL | MD | Neurology Physician |
| 327113 | NY | MD | Neurology Physician |
| 52108 | AZ | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| St. Joseph's Hospital and Medical Center | Current | Accepting new patients | |
| Livi Medical Services LLC | Past | Accepting new patients | |
| Mount Sinai Hospital | Past | Accepting new patients |
Locations
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
File 56765
Los Angeles, CA 90074
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
1 Gustave L Levy Pl
Fl 12
New York, NY 10029
Phone (212) 241-1518
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 9
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.
-
dba Neurology Department of Mount Sinai
- Neurological Surgery Physician
- New York, NY
- NPI 1558627844
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
dba SJHMC Trauma Services
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
dba UF Health Family Medicine Ocala Heath Brook
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
dba Clarence Wesley Health Center
- Clinic/Center
- Bylas, AZ
- NPI 1417330713
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
dba Elevation Primary and Palliative
- Family Medicine Physician
- Phoenix, AZ
- NPI 1457667750
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
-
dba The Elms
- Skilled Nursing Facility
- Macomb, IL
- NPI 1598761033
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1629140561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 N 3RD AVE # 470",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134434",
"telephone_number": "602-406-6262",
"fax_number": "602-406-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL FL 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296574",
"telephone_number": "212-241-7076"
}
],
"practiceLocations": [
{
"address_1": "240 W Thomas Rd # 403",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "85013",
"country_code": "US",
"telephone_number": "602-406-6262",
"fax_number": "602-406-6261",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2910 N 3rd Ave # 470",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850134434",
"country_code": "US",
"telephone_number": "602-406-6262",
"fax_number": "602-406-6261",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326103003",
"country_code": "US",
"telephone_number": "352-273-5550",
"fax_number": "352-273-5575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATERS",
"first_name": "MICHAEL",
"middle_name": "FARRIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "AZ",
"license": "52108",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "NY",
"license": "327113",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "327113",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A78335",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME86883",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "52108",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279658900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.