Individual provider Active NPI

Michael J Crimmins, MD

  • Neurocritical Care Physician
  • Aventura, FL
National Provider Identifier
1689830564
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
ME156779 Issued in FL
Practice address
20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone
(305) 682-7000
NPI assigned
Jul 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME156779 FL
Neurology Physician 2084N0400X 265591-1 NY
Neurology Physician 2084N0400X 0101247836 VA
Vascular Neurology Physician 2084V0102X ME156779 FL
Neurocritical Care Physician 2084A2900X ME156779 FL Primary

Addresses

Primary practice location

20900 Biscayne Blvd
Aventura, FL 33180-1407

Mailing address

PO Box 7623
Naples, FL 34101-7623
Phone (305) 712-7229

Other practice location 1

3661 S Miami Ave Ste 1001
Miami, FL 33133-4214
Phone (305) 712-7229

Other practice location 2

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 472-6600

Other practice location 3

11760 SW 40th St Ste 529
Miami, FL 33175-8100
Phone (305) 712-7229

Other practice location 4

21110 Biscayne Blvd Ste 201
Aventura, FL 33180-1251
Phone (305) 712-7229

Other practice location 5

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400

Other practice location 6

11750 SW 40th St
Miami, FL 33175-3530
Phone (305) 223-3000

Other practice location 7

3476 S University Dr
Davie, FL 33328-2000
Phone (954) 475-4400

Other identifiers 2

IdentifierTypeStateIssuer
114455700MedicaidFL
14358220OtherFLCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, VA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170601001040 SD Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 8426235003 Reassigns benefits to 1 organization
I20190604001963 VA Practitioner - Neurology 8426235003 Reassigns benefits to 2 organizations
I20220629000013 FL Practitioner - Neurology 8426235003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Maryland School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intellirad Imaging LLCGroup PAC ID 9739333790, 60 clinicians

Practice addresses (Care Compare)

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156779FLMDNeurology Physician
265591-1NYMDNeurology Physician
0101247836VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic CurrentSince Apr 19, 2017 Accepting new patients
Intellirad Imaging, LLC CurrentSince Jun 1, 2022 Accepting new patients
Sentara Medical Group Neurology CurrentSince Jul 12, 2019 Accepting new patients
Winchester Medical Center CurrentSince Apr 1, 2019 Accepting new patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center Neurology CurrentSince Apr 1, 2019 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince Apr 19, 2017 Accepting new patients

Locations

3476 S University Dr
Davie, FL 33328
Phone (954) 475-4350

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

11760 SW 40th St
Ste 703
Miami, FL 33175

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3661 S Miami Ave
Miami, FL 33133
Phone (305) 285-2977

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

21110 Biscayne Blvd
Ste 201
Miami, FL 33180
Phone (305) 653-5155

3661 S Miami Ave
Ste 1001
Miami, FL 33133
Phone (305) 858-2299

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

301 Riverview Ave
Ste 202A
Norfolk, VA 23510
Phone (757) 252-9015

301 Riverview Ave
Ste 202
Norfolk, VA 23510
Phone (757) 252-9015

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Interoperability endpoints

  • Direct secure messaging: michael.crimmins@avera.sdhealthlink.net
  • Direct secure messaging: michael.crimmins.1@5072.direct.athenahealth.com

Organizations & group practices 8

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1689830564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7623",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341017623",
            "telephone_number": "305-712-7229",
            "fax_number": "305-397-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20900 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801407",
            "telephone_number": "305-682-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3661 S Miami Ave Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334214",
            "country_code": "US",
            "telephone_number": "305-712-7229",
            "fax_number": "305-397-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242701",
            "country_code": "US",
            "telephone_number": "954-472-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11760 SW 40th St Ste 529",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331758100",
            "country_code": "US",
            "telephone_number": "305-712-7229",
            "fax_number": "305-397-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21110 Biscayne Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801251",
            "country_code": "US",
            "telephone_number": "305-712-7229",
            "fax_number": "305-397-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3663 S Miami Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334253",
            "country_code": "US",
            "telephone_number": "305-854-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11750 SW 40th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753530",
            "country_code": "US",
            "telephone_number": "305-223-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3476 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333282000",
            "country_code": "US",
            "telephone_number": "954-475-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIMMINS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME156779",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "265591-1",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101247836",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "FL",
            "license": "ME156779",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "FL",
            "license": "ME156779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114455700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14358220",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.