Active NPI
Michael Painter, PA
- Physician Assistant
- Aventura, FL
National Provider Identifier
1649606864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAT9107496
- Practice address
- 21000 NE 28TH Ave
Suite 104
Aventura, FL 33180-1421 - Phone
- (305) 937-1999
- Fax
- (305) 931-9741
- NPI assigned
- Sep 19, 2013
- Last updated
- Apr 13, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAT9107496 | FL | Primary |
Addresses
Primary practice location
21000 NE 28TH Ave
Suite 104
Aventura, FL 33180-1421
Mailing address
21000 NE 28TH Ave
Suite 104
Aventura, FL 33180-1421
Phone (305) 937-1999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2026 through Oct 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAT9107496 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1649606864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21000 NE 28TH AVE",
"address_2": "SUITE 104",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801421",
"telephone_number": "305-937-1999",
"fax_number": "305-931-9741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21000 NE 28TH AVE",
"address_2": "SUITE 104",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801421",
"telephone_number": "305-937-1999",
"fax_number": "305-931-9741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAINTER",
"first_name": "MICHAEL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-19",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PAT9107496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.