Individual provider Active NPI

Michal-Ann Derezil, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Jupiter, FL
National Provider Identifier
1689054348
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME151337 Issued in FL
Practice address
1025 Military TRL Ste 107
Jupiter, FL 33458-7040
Phone
(561) 659-6336
Fax
(561) 659-9327
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME151337 FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME151337 FL Primary

Addresses

Primary practice location

1025 Military TRL Ste 107
Jupiter, FL 33458-7040

Mailing address

1515 N Flagler Dr Ste 430
West Palm Beach, FL 33401-3430
Phone (561) 659-6336

Other practice location 1

1515 N Flagler Dr Ste 430
West Palm Beach, FL 33401-3430
Phone (561) 659-6336 ext. 8040

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
I20250128004699 FL Practitioner - Internal MedicinePractitioner - Endocrinology 5092065078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palm Beach Diabetes and Endocrine Specialists PAGroup PAC ID 5698736601, 20 clinicians

Practice addresses (Care Compare)

1515 N Flagler Dr
Suite 430
West Palm BCH, FL 33401-3430
Phone (561) 659-6336

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.57 of 100Reported as individual
Quality
90.08
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Diabetes and Endocrine Specialists PA Endocrinology, Diabetes & Metabolism CurrentSince Feb 1, 2025 Accepting new patients
Lawnwood Cardiovascular Surgery LLC PastSince Aug 1, 2021 Accepting new patients

Locations

1025 Military Trl
Jupiter, FL 33458
Phone (561) 741-0000

1025 Military Trl
Ste 107
Jupiter, FL 33458
Phone (561) 743-0244

1515 N Flagler Dr
Ste 430
West Palm Beach, FL 33401

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBGIAA

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1689054348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N FLAGLER DR STE 430",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013430",
            "telephone_number": "561-659-6336",
            "fax_number": "561-659-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MILITARY TRL STE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587040",
            "telephone_number": "561-659-6336",
            "fax_number": "561-659-9327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 N Flagler Dr Ste 430",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013430",
            "country_code": "US",
            "telephone_number": "561-659-6336 x8040",
            "fax_number": "561-659-9327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEREZIL",
        "first_name": "MICHAL-ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME151337",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME151337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.