Individual provider Active NPI

Michele Weintraub, M.D.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1679514129
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME95954 Issued in FL
Practice address
2789 Ortiz Ave
Fort Myers, FL 33905-7806
Phone
(239) 275-3222
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME95954 FL Primary

Addresses

Primary practice location

2789 Ortiz Ave
Fort Myers, FL 33905-7806

Mailing address

1418 Causey CT
Sanibel, FL 33957-3641
Phone (239) 313-1427

Other identifiers 2

IdentifierTypeStateIssuer
10834OtherBCBSF
2795311 00MedicaidFL

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
I20071129000556 FL Practitioner - Psychiatry 5991690554 Reassigns benefits to 7 organizations
Practice locations: Cape Coral, FL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Maryland School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baycare Behavioral Health Associates, LLCGroup PAC ID 2567624836, 97 clinicians

Practice addresses (Care Compare)

1200 7TH Ave N
St Petersburg, FL 33705-1300
Phone (727) 532-1355

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (727) 532-1355

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME95954FLMDNeurology Physician
51994CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health, Inc CurrentSince Apr 8, 2019 Accepting new patients
Behavioral Health Management Services, Inc CurrentSince Apr 8, 2019 Accepting new patients
Winter Haven Hospital Inc CurrentSince Apr 8, 2019 Accepting new patients
The Pavilion at Healthpark, LLC CurrentSince Nov 22, 2014 Accepting new patients
David Lawrence Mental Health Center, Inc CurrentSince Feb 23, 2015 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Apr 8, 2019 Accepting new patients
West Florida Behavioral Health Inc CurrentSince Nov 18, 2017 Accepting new patients
Baycare Behavioral Health Associates LLC CurrentSince Dec 21, 2015 Accepting new patients
Winter Haven Hospital Inc CurrentSince Apr 8, 2019 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Apr 8, 2019 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
The Pavilion at Healthpark LLC CurrentSince Nov 22, 2014 Accepting new patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Baycare Behavioral Health Associates LLC Current Accepting new patients

Locations

15311 Cortez Blvd
Brooksville, FL 34613
Phone (352) 467-6529

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

9241 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 985-2700

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

6075 Bathey Ln
Naples, FL 34116
Phone (239) 455-8500

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

2191 E Johnson Ave
Pensacola, FL 32514
Phone (850) 474-8360

1200 7th Ave N
St Petersburg, FL 33705
Phone (727) 820-7764

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

Interoperability endpoints

  • Direct secure messaging: michele.weintraubmd@direct.mybaycare.org
  • Direct secure messaging: michele.weintraub@hca5.eclinicaldirectplus.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1679514129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 CAUSEY CT",
            "city": "SANIBEL",
            "state": "FL",
            "postal_code": "339573641",
            "telephone_number": "239-313-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2789 ORTIZ AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057806",
            "telephone_number": "239-275-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "MICHELE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME95954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF",
            "identifier": "10834",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2795311 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.