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Individual provider Active NPI

Gregory A Michaels, MD

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1821044553
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME82942 Issued in FL
Practice address
63 Barkley Cir
Ste. 100 & 101
Fort Myers, FL 33907-4514
Phone
(239) 938-3500
Fax
(239) 278-0055
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME82942 FL Primary
Diagnostic Radiology Physician 2085R0202X G61922 CA
Vascular & Interventional Radiology Physician 2085R0204X ME 82942 FL
Vascular & Interventional Radiology Physician 2085R0204X G61922 CA

Addresses

Primary practice location

63 Barkley Cir
Ste. 100 & 101
Fort Myers, FL 33907-4514

Mailing address

13131 Corbel Cir
#312
Fort Myers, FL 33907-6833
Phone (239) 267-2030

Other identifiers 6

IdentifierTypeStateIssuer
264701000MedicaidFL
5773317OtherCIGNA
P00318896OtherFLRR MEDICARE FRL
226258OtherAMERIGROUP
ME82942OtherFL WC CERTIFICATION
O6452OtherBCBSFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040831000689 FL Practitioner - Diagnostic Radiology 3072588201 Reassigns benefits to 5 organizations
I20220405000574 TX Practitioner - Diagnostic Radiology 3072588201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Southern California Keck School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Radiology Associates LLCGroup PAC ID 2769829522, 74 clinicians

Practice addresses (Care Compare)

17021 US Hwy 441
Mount Dora, FL 32757-6734
Phone (317) 614-9881

Hospital & facility affiliations

  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score
75.5 of 100Reported as group
Quality
80
Improvement activities
20

Merit-based Incentive Payment System (MIPS)

Final score
93.94 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82942FLMDDiagnostic Radiology Physician
G61922CAMDVascular & Interventional Radiology Physician
ME 82942FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Jul 10, 2024 Accepting new patients
Florida Radiology Consultants P a Diagnostic Radiology CurrentSince Feb 1, 2014 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Jul 10, 2024 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Jul 10, 2024 Accepting new patients
Florida Neurology Group P L CurrentSince May 7, 2010 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Florida Radiology Leasing LLC Diagnostic Radiology CurrentSince Feb 9, 2010 Accepting new patients
LMR Imaging Diagnostic Radiology Past Accepting new patients
Florida Foot and Ankle Physicians PA PastSince Aug 1, 1997 Accepting new patients

Locations

13880 Shell Point Plz
Fort Myers, FL 33908
Phone (239) 415-5477

8960 Colonial Center Dr
Ste 302
Fort Myers, FL 33905
Phone (239) 343-9633

8192 College Pkwy
Ste 6
Fort Myers, FL 33919
Phone (239) 481-8022

6311 S Pointe Blvd
Ste 600
Fort Myers, FL 33919
Phone (239) 343-9150

12600 Creekside Ln
Fort Myers, FL 33919
Phone (239) 437-8008

63 Barkley Cir
Ste 100
Fort Myers, FL 33907
Phone (239) 938-3500

63 Barkley Cir
Ste 101
Fort Myers, FL 33907
Phone (239) 245-7908

12670 Whitehall Dr
Fort Myers, FL 33907
Phone (239) 936-3554

17021 US Highway 441
Mount Dora, FL 32757
Phone (352) 323-5762

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 10

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1821044553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13131 CORBEL CIR",
            "address_2": "#312",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339076833",
            "telephone_number": "239-267-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BARKLEY CIR",
            "address_2": "STE. 100 & 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074514",
            "telephone_number": "239-938-3500",
            "fax_number": "239-278-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME82942",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G61922",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME 82942",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G61922",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264701000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5773317",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE FRL",
            "identifier": "P00318896",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "226258",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL WC CERTIFICATION",
            "identifier": "ME82942",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "O6452",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.