Individual provider Active NPI

Ehab S Michael, MD

  • Family Medicine Physician
  • Sarasota, FL
National Provider Identifier
1710929757
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME118919 Issued in FL
Practice address
3920 Bee Ridge Rd Ste E-E
Sarasota, FL 34233-1262
Phone
(941) 777-0002
Fax
(941) 777-0036
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 39387 MN
Pediatrics Physician 208000000X 39387 MN
Internal Medicine Physician 207R00000X 39387 MN
Family Medicine Physician 207Q00000X ME118919 FL Primary

Addresses

Primary practice location

3920 Bee Ridge Rd Ste E-E
Sarasota, FL 34233-1262

Mailing address

3920 Bee Ridge Rd Ste E-E
Sarasota, FL 34233-1262
Phone (941) 777-0002

Other identifiers 4

IdentifierTypeStateIssuer
QN680OtherFLMEDICARE
14V0HOtherFLBCBS
QN678OtherFLMEDICARE
019313300MedicaidFL

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
I20140326000103 FL Practitioner - Internal Medicine 3971554643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3920 Bee Ridge Rd
Suite E
Sarasota, FL 34233-1207
Phone (941) 777-0002

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions52
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39387MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael MD PLLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Mayo Clinic Health System-St James Past Accepting new patients

Locations

5741 Bee Ridge Rd
Ste 220
Sarasota, FL 34233
Phone (941) 248-3818

3920 Bee Ridge Rd
Ste E-E
Sarasota, FL 34233
Phone (941) 777-0002

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ehab.michael.1@31677.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1710929757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD STE E-E",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331262",
            "telephone_number": "941-777-0002",
            "fax_number": "941-777-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD STE E-E",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331262",
            "telephone_number": "941-777-0002",
            "fax_number": "941-777-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "EHAB",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "39387",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "39387",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "39387",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME118919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "QN680",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14V0H",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "QN678",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019313300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.