Individual provider Active NPI

Poncelet Michel, MD, PA.

  • Adult Medicine Physician
  • Miami, FL
National Provider Identifier
1679193445
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ACN1720 Issued in FL
Practice address
581 NW 183Rd St
Miami, FL 33169-4469
Phone
(305) 651-1690
NPI assigned
Apr 22, 2020
Sex
Male
Sole proprietor
Yes

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 483-P.A. PR
Adult Medicine Physician 207QA0505X NJDCATEMP000848 NJ
Adult Medicine Physician 207QA0505X ACN1720 FL Primary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X NJDCATEMP000856 NJ

Addresses

Primary practice location

581 NW 183Rd St
Miami, FL 33169-4469

Mailing address

581 NW 183Rd St
Miami, FL 33169-4469
Phone (305) 651-1690

Other names 1

  • Poncelet Michel Professional name

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
I20260522000492 FL Practitioner - Family Practice 5890265672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

581 NW 183Rd St
Miami, FL 33169-4469

8921 SW 187TH St
Cutler Bay, FL 33157-7126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1720FLMDAdult Medicine Physician
NJDCATEMP000848NJMDAdult Medicine Physician
NJDCATEMP000856NJMDAdult Medicine Physician
483-P.A.PRMDAdult Medicine Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1679193445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 NW 183RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694469",
            "telephone_number": "305-651-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 NW 183RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694469",
            "telephone_number": "305-651-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "PONCELET",
        "name_prefix": "Dr.",
        "credential": "MD, PA.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PR",
            "license": "483-P.A.",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "NJDCATEMP000848",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ACN1720",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "NJDCATEMP000856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PONCELET",
            "last_name": "MICHEL",
            "credential": "MD, PA.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.