Individual provider Active NPI

Michael Mercandetti, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Venice, FL
National Provider Identifier
1669471959
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
ME64173 Issued in FL
Practice address
1499 E Venice Ave Unit B
Venice, FL 34292-3207
Phone
(941) 584-4039
Fax
(941) 375-0097
NPI assigned
Jul 19, 2005
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X ME64173 FL Primary

Addresses

Primary practice location

1499 E Venice Ave Unit B
Venice, FL 34292-3207

Mailing address

1499 E Venice Ave Unit B
Venice, FL 34292-3207
Phone (941) 584-4039

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040426001185 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Ophthalmology 4385631126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
81.43
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Dermatology Associates Inc CurrentSince Jan 15, 2015 Accepting new patients
Eye Associates of Manatee, LLP Ophthalmology CurrentSince Apr 3, 2023 Accepting new patients
Eye Associates of Manatee LLP CurrentSince Apr 3, 2023 Accepting new patients
Seven Hills Surgery Center, LLC CurrentSince Apr 1, 2020 Accepting new patients
Ophthalmic Consultants PA Ophthalmology Past Accepting new patients
Innovative Primary Care PLC PastSince Feb 26, 2023 Accepting new patients
Santa Fe Surgery Center LLC Past Accepting new patients
Ali E Haas MD PA PastSince Mar 23, 2009 Accepting new patients

Locations

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

4101 Evans Ave
Fort Myers, FL 33901
Phone (239) 335-1765

2500 Tamiami Trl N
Ste 109
Naples, FL 34103
Phone (239) 263-2700

5969 Cattleridge Blvd
Ste 102
Sarasota, FL 34232
Phone (941) 377-9993

2010 Fleischmann Rd
Tallahassee, FL 32308
Phone (850) 552-0608

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18839/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FAEBAA
  • Direct secure messaging: michael.mercandetti.p1@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: michael.mercandetti.p3@direct.theeyeassociates.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1669471959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 E VENICE AVE UNIT B",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923207",
            "telephone_number": "941-584-4039",
            "fax_number": "941-375-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 E VENICE AVE UNIT B",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923207",
            "telephone_number": "941-584-4039",
            "fax_number": "941-375-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCANDETTI",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME64173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.