Individual provider Active NPI

Michael Staines, MD

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Branford, CT
National Provider Identifier
1679001143
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
License
84553 Issued in CT
Practice address
100 Double Beach Rd
Branford, CT 06405-4909
Phone
(203) 315-7301
NPI assigned
May 30, 2017
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X 84553 CT Primary

Addresses

Primary practice location

100 Double Beach Rd
Branford, CT 06405-4909

Mailing address

10550 Copper Lake Dr
Estero, FL 34135-8435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190114001053 NY Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative CarePractitioner - Physical Medicine and Rehabilitation 6305182239

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84553CTMDHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1679001143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 COPPER LAKE DR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "341358435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOUBLE BEACH RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054909",
            "telephone_number": "203-315-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAINES",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "CT",
            "license": "84553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.