Active NPI
Michael J Crimmins, MD
- Neurocritical Care Physician
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- ME156779
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114455700 | Medicaid | FL | |
| 14358220 | Other | FL | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME156779 | FL | MD | Neurology Physician |
| 265591-1 | NY | MD | Neurology Physician |
| 0101247836 | VA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current | Accepting new patients | |
| Intellirad Imaging, LLC | Current | Accepting new patients | |
| Sentara Medical Group | Neurology | Current | Accepting new patients |
| Winchester Medical Center | Current | Accepting new patients | |
| Winchester Medical Center | Current | Accepting new patients | |
| Winchester Medical Center | Neurology | Current | Accepting new patients |
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Clinic | Current | 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
- michael.crimmins@avera.sdhealthlink.net
- 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.
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1073859484
-
dba Sanford Health Psychiatry & Psychology Clinic
- Psychologist
- Sioux Falls, SD
- NPI 1396764254
-
dba Valley Intensivists
- Critical Care Medicine (Internal Medicine) Physician
- Winchester, VA
- NPI 1679711261
-
dba Sanford Virtual Health Services
- Diagnostic Radiology Physician
- Fargo, ND
- NPI 1306641345
-
dba Sanford Neurosurgery and Spine Clinic
- Neurological Surgery Physician
- Sioux Falls, SD
- NPI 1699882282
-
dba Valley Health Pediatrics Department of Winchester Medical Center
- Pediatrics Physician
- Winchester, VA
- NPI 1013874742
Hospital & facility affiliations 28
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Westside Hospital
- General Acute Care Hospital
- Plantation, FL
- NPI 1063466589
-
dba HCA Florida Kendall Hospital
- General Acute Care Hospital
- Miami, FL
- NPI 1710931522
-
dba HCA Florida Aventura Hospital
- General Acute Care Hospital
- Aventura, FL
- NPI 1407801673
-
dba Plantation General Hospital
- General Acute Care Hospital
- Plantation, FL
- NPI 1144274317
-
dba HCA Florida Mercy Hospital
- General Acute Care Hospital
- Miami, FL
- NPI 1023387479
-
dba Avera Medical Group Urogynecology Sioux Falls
- Obstetrics & Gynecology Physician
- Sioux Falls, SD
- NPI 1003188269
Hospital
-
dba Avera Medical Group Rheumatology Sioux Falls
- Rheumatology Physician
- Sioux Falls, SD
- NPI 1013177393
Hospital
-
dba Avera Medical Group University Psychiatry Associates Sioux Falls
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1013980598
Hospital
-
dba Avera Medical Group Orthopedics and Sports Medicine
- Orthopaedic Surgery Physician
- Sioux Falls, SD
- NPI 1093262131
Hospital
-
dba Avera Medical Group Brain and Spine Institute
- Neurological Surgery Physician
- Sioux Falls, SD
- NPI 1114113693
Hospital
-
dba Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls
- Physical Medicine & Rehabilitation Physician
- Sioux Falls, SD
- NPI 1134195332
Hospital
-
dba Avera McKennan Hospital and University Health Center - Diabetic Ed
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.