NPIMap

Individual provider Active NPI

Michael E Dillehay, MD

  • Family Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1811000888
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME81907 Issued in FL
Practice address
100 Waymont CT
Suite 110
Lake Mary, FL 32746-3412
Phone
(407) 688-8862
Fax
(407) 688-8868
NPI assigned
Aug 16, 2006
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME81907 FL Primary

Addresses

Primary practice location

100 Waymont CT
Suite 110
Lake Mary, FL 32746-3412

Mailing address

100 Waymont Court
Suite 110
Lake Mary, FL 32746-3501
Phone (407) 688-8862

Other identifiers 3

IdentifierTypeStateIssuer
261861300MedicaidFL
51293OtherFLBLUE CROSS BLUE SHIELD
5386409OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000270 FL Practitioner - Family PracticePractitioner - Emergency Medicine 8729026240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Lake Mary Family Care PAGroup PAC ID 3971600024, 2 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

330 Waymont CT
Lake Mary, FL 32746-3484
Phone (407) 688-8862

500 Village PL
Longwood, FL 32779-6171
Phone (407) 637-3998

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81907FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Mary Family Care P a Family Medicine CurrentSince Jul 1, 2001 Accepting new patients
Central Florida Foot and Ankle Institute, LLC PastSince Dec 24, 2023 Accepting new patients

Locations

100 Waymont Ct
Ste 110
Lake Mary, FL 32746
Phone (407) 307-0006

330 Waymont Ct
Lake Mary, FL 32746
Phone (407) 330-6151

500 Village Pl
Longwood, FL 32779
Phone (407) 406-9432

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1811000888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WAYMONT COURT",
            "address_2": "SUITE 110",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463501",
            "telephone_number": "407-688-8862",
            "fax_number": "407-688-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WAYMONT CT",
            "address_2": "SUITE 110",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463412",
            "telephone_number": "407-688-8862",
            "fax_number": "407-688-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLEHAY",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME81907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261861300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51293",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5386409",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.