Michael James Moffatt, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS19595 Issued in FL

Practice address

1881 SE Tiffany Ave Ste 201
Port St Lucie, FL 34952-7567

Phone

(772) 335-9600

NPI assigned

Jan 13, 2006

Last updated

Jan 15, 2026By 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 1

Addresses

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

Specialty

Internal Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lucie Medical Specialists LLCGroup PAC ID 1456430487, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• St Lucie Medical Specialists LLC

  dba Heart and Family Health Institute of Port St. Lucie

  • Family Medicine Physician
  • Port St Lucie, FL
  • NPI 1548447535

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Florida Community Health Centers Inc

  • Family Medicine Physician
  • Pahokee, FL
  • NPI 1851518211
  Medicare reassignment NPD
• Florida Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Port St Lucie, FL
  • NPI 1346619244
  Medicare reassignment NPD
• Michael Moffatt

  • Nephrology Physician
  • Cleveland, TN
  • NPI 1174691794

  Internal Medicine

  NPD (past) Authorized official
• Florida Community Health Centers Inc

  • Family Medicine Physician
  • Clewiston, FL
  • NPI 1124078571
  NPD
• Florida Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Moore Haven, FL
  • NPI 1194071944
  NPD
• Florida Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Port St Lucie, FL
  • NPI 1215986872

  Internal Medicine

  NPD
• Florida Community Health Centers Inc

  • Family Medicine Physician
  • Okeechobee, FL
  • NPI 1952351306
  NPD
• Dignity Health Medical Group Nevada, LLC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1376805416
  NPD
• Baptist Health Deaconess Madisonville Inc

  dba Baptist Health Deaconess Madisonville Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Madisonville, KY
  • NPI 1225347719
  NPD (past)
• Cleveland Medical Clinic Inc

  • Orthopaedic Surgery of the Spine Physician
  • Cleveland, TN
  • NPI 1457350951

  Internal Medicine

  NPD (past)
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1669451936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 SE TIFFANY AVE STE 201",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527567",
            "telephone_number": "772-335-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 SE TIFFANY AVE STE 201",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527567",
            "telephone_number": "772-335-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFATT",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS19595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MMD Professional Services, Corp.
• Mobile Medical Operating Company LLC (Mobile Medical)
• Mobile Physical Therapy, Inc.
• Jacqueline Mobley
• Nacole A Moffat McGarry, LCSW
• Yahya Mohamad, DO
• Aaron Mohammed, MSW
• Moises Siperstein MD PA
• Raymond Molano, MD
• Vitaliy Molchanov, MD

• Internal Medicine Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.

Verify at the official NPI Registry.