Active NPI
Michael A Jaindl, MD
- Otolaryngology Physician
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME 108882
- Practice address
- 1530 Lee Blvd Ste 2350
Lehigh Acres, FL 33936-4851 - Phone
- (239) 674-7345
- Fax
- (239) 491-2347
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME 108882 | FL | Primary |
Addresses
Primary practice location
1530 Lee Blvd Ste 2350
Lehigh Acres, FL 33936-4851
Mailing address
1530 Lee Blvd Ste 2350
Lehigh Acres, FL 33936-4851
Phone (239) 674-7345
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110627000478 | FL | Practitioner - Otolaryngology | 6901873587 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of South Carolina School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Holmes County Hospital Corp
Practice addresses (Care Compare)
2910 Hospital Dr
Bonifay, FL 32425-4268
Phone (850) 547-8118
Hospital & facility affiliations
- Doctors Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pathology Group of Northwest Florida PLLC | Current | Accepting new patients | |
| Holmes County Hospital Corp | Current | Accepting new patients | |
| Holmes County Hospital Corp | Current | Accepting new patients | |
| Vivid Pathology PA | Current | Accepting new patients | |
| Robert Kratz, MD | Past | Accepting new patients |
Locations
2910 Hospital Dr
Ste A
Bonifay, FL 32425
Phone (850) 547-8118
2600 Hospital Dr
Bonifay, FL 32425
Phone (850) 416-6484
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Bonifay, FL
- NPI 1952917015
-
- Anatomic Pathology & Clinical Pathology Physician
- Pensacola, FL
- NPI 1114153269
-
- Anatomic Pathology & Clinical Pathology Physician
- Pensacola, FL
- NPI 1760738611
-
- Clinic/Center
- Florence, KY
- NPI 1043294127
Hospital & facility affiliations 1
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": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1700860889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 LEE BLVD STE 2350",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339364851",
"telephone_number": "239-674-7345",
"fax_number": "239-674-2347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 LEE BLVD STE 2350",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339364851",
"telephone_number": "239-674-7345",
"fax_number": "239-491-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAINDL",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME 108882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.