Individual provider Active NPI

Mikhail Deputat, M.D.

  • Anesthesiology Physician
  • Ocala, FL
National Provider Identifier
1669408167
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME86601 Issued in FL
Practice address
1500 SW 1St Ave
Ocala, FL 34471-6504
Phone
(352) 867-8311
Fax
(352) 622-5771
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME86601 FL Primary

Addresses

Primary practice location

1500 SW 1St Ave
Ocala, FL 34471-6504

Mailing address

150 SE 17TH St
Ocala, FL 34471-5178
Phone (352) 867-8311

Other identifiers 2

IdentifierTypeStateIssuer
266236100MedicaidFL
62974OtherFLBCBS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040219000315 FL Practitioner - Anesthesiology 7810882727 Reassigns benefits to 6 organizations
I20251107000363 MI Practitioner - Anesthesiology 7810882727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health Primary Care PartnersGroup PAC ID 4587568647, 2,283 clinicians
Tenet Florida Physician Services LLCGroup PAC ID 0345349478, 239 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

Hospital & facility affiliations

  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Primary Care Partners Anesthesiology CurrentSince Nov 17, 2025 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Cardiovascular Anesthesia Consultants of Central Florida, LLC Anesthesiology CurrentSince Sep 13, 2023 Accepting new patients
Citrus Cardiovascular Anesthesia Associates PLLC Anesthesiology CurrentSince Sep 20, 2011 Accepting new patients
Mid Florida Cardiovascular Anesthesia Associates PA Anesthesiology CurrentSince Feb 1, 2003 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jan 14, 2026 Accepting new patients
Ocala Cardiovascular Anesthesia Associates PA Anesthesiology CurrentSince Feb 1, 2003 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Jan 14, 2026 Accepting new patients
Stuart Cardiovascular Associates, PLLC PastSince Jul 31, 2006 Accepting new patients
Munroe Regional Health System Inc Past Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

700 Doctors Ct
Leesburg, FL 34748
Phone (352) 787-9838

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

150 SE 17th St
Ste 503
Ocala, FL 34471
Phone (352) 433-2825

10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853

10080 SW Innovation Way
Ste 101
Port St Lucie, FL 34987
Phone (561) 358-2445

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

509 SE Riverside Dr
Stuart, FL 34994
Phone (772) 223-2300

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1669408167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715178",
            "telephone_number": "352-867-8311",
            "fax_number": "352-867-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716504",
            "telephone_number": "352-867-8311",
            "fax_number": "352-622-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPUTAT",
        "first_name": "MIKHAIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME86601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266236100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "62974",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.