Individual provider Active NPI

Manuel Angel Navas Micheo, M.D., F.A.C.O.G.

  • Obstetrics & Gynecology Physician
  • Titusville, FL
National Provider Identifier
1790733426
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME147286 Issued in FL
Practice address
250 Harrison St
Titusville, FL 32780-5094
Phone
(321) 268-6868
Fax
(321) 268-4922
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 8463 PR
Obstetrics & Gynecology Physician 207V00000X ME147286 FL Primary

Addresses

Primary practice location

250 Harrison St
Titusville, FL 32780-5094

Mailing address

250 Harrison Street
PHN Office
Titusville, FL 32780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, MI, 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
I20050823000651 PR Practitioner - Obstetrics/Gynecology 6709817455 Reassigns benefits to 1 organization
I20170509000940 MI Practitioner - Obstetrics/Gynecology 6709817455 Reassigns benefits to 1 organization
I20200925000538 FL Practitioner - Obstetrics/Gynecology 6709817455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Brevard Medical Support IncGroup PAC ID 7618870296, 62 clinicians

Practice addresses (Care Compare)

250 Harrison St
Titusville, FL 32780-5094
Phone (321) 268-6834

Hospital & facility affiliations

  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Caguas Incorporated CurrentSince Jan 1, 2005 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Oct 1, 2020 Accepting new patients
Sparrow Carson Hospital CurrentSince May 15, 2017 Accepting new patients
Sparrow Carson Hospital Obstetrics & Gynecology CurrentSince May 15, 2017 Accepting new patients
Space Coast Health Centers Inc CurrentSince Nov 1, 2024 Accepting new patients
Hospital Menonita Humacao Inc CurrentSince Jan 1, 2005 Accepting new patients
Equipo Ginecologico Y Obstetrico de Salud,P.S.C. Obstetrics & Gynecology Current Accepting new patients
Sparrow Carson Hospital Current Accepting new patients

Locations

250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868

845 Century Medical Dr
Ste B
Titusville, FL 32796
Phone (321) 268-6730

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

250 Harrison St
Ofc
Titusville, FL 32780

951 N Washington Ave
Ste 100
Titusville, FL 32796
Phone (321) 268-6836

8175 Reliable Pkwy
Chicago, IL 60686

1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145

158 Calle Font Martelo
Humacao, PR 00791
Phone (787) 852-3538

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17832/brand/2/csg/41/fhir/r4
  • Direct secure messaging: manuel.navas-micheo.1@17832.direct.athenahealth.com
  • Direct secure messaging: manuel.navas-micheo.2@17832.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 and National Provider Directory roles.

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1790733426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HARRISON STREET",
            "address_2": "PHN OFFICE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "32780",
            "fax_number": "321-268-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HARRISON ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805094",
            "telephone_number": "321-268-6868",
            "fax_number": "321-268-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVAS MICHEO",
        "first_name": "MANUEL",
        "middle_name": "ANGEL",
        "credential": "M.D., F.A.C.O.G.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PR",
            "license": "8463",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME147286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.