Miguel E Trevino, MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0048086 Issued in FL

Practice address

1573 S. Ft. Harrison Avenue
Clearwater, FL 33756

Phone

(727) 584-8777

Fax

(727) 584-8772

NPI assigned

Jun 30, 2006

Last updated

May 21, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2022 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Interoperability endpoints

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

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.

• Miguel E Trevino MD PA

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1316975907
  Authorized official Same address or phone
• Elias Kanaan MD PA

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1538177928
  NPD (past)
• Inpatient Services of Florida PA

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1992715619
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1760411029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 S FORT HARRISON AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562004",
            "telephone_number": "727-584-8777",
            "fax_number": "727-584-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 S. FT. HARRISON AVENUE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-584-8777",
            "fax_number": "727-584-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "MIGUEL",
        "middle_name": "E",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0048086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krizia Marie Teloren Trasmonte, DO
• Traverse Talk
• Jennifer N. Travis Seidl, PH.D.
• Shirley J. Tregillus, LM
• Jamie Denise Trettel, RDN
• Kabeer Trikkha, RBT
• Trillium Medical Group of Florida, Inc.
• Trim Nutrition Pharmacy (Nutrex Pharmacy)
• Trinity Pacific 5, LLC (Providence Home Care of Florida)
• Stanton P Tripodis, MD

• Internal Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.