Individual provider Active NPI

Michael Hawk Cronin, D.O.

  • Orthopaedic Surgery Physician
  • Melbourne, FL
National Provider Identifier
1831519909
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS15191 Issued in FL
Practice address
165 N Babcock St
Melbourne, FL 32935
Phone
(321) 462-3330
Fax
(800) 776-1503
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 167906 OR
Orthopaedic Surgery Physician 207X00000X OS15191 FL Primary

Addresses

Primary practice location

165 N Babcock St
Melbourne, FL 32935

Mailing address

PO Box 66657
Seattle, WA 98166-0657
Phone (321) 723-7716

Other practice location 1

2222 S Harbor City Blvd Ste 610
Melbourne, FL 32901-5591
Phone (321) 723-7716

Other practice location 2

13020 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 978-9700

Other practice location 3

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-4906

Other practice location 4

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-4906

Other identifiers 2

IdentifierTypeStateIssuer
103232500MedicaidFL
OU414OtherFLHF MEDICARE

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
I20190218001943 FL Practitioner - Orthopedic Surgery 5193063196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Midwestern University College of Dental Medicine, Glendale, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Spine LLCGroup PAC ID 6406271246, 6 clinicians

Practice addresses (Care Compare)

165 N Babcock St
Melbourne, FL 32935-6714
Phone (321) 462-3330

Hospital & facility affiliations

  • Tehc LLC Home health agency, Rockledge, FL, CCN 107718
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion307
Laminectomy or laminotomy (partial removal of spine bones)73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
167906ORMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Orthopaedic Spine & Pain Clinic Inc Orthopaedic Surgery CurrentSince Dec 7, 2020 Accepting new patients

Locations

2222 S Harbor City Blvd
Ste 610
Melbourne, FL 32901
Phone (321) 541-1537

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: michael.cronin.1@8524.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 4

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1831519909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66657",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981660657",
            "telephone_number": "321-723-7716",
            "fax_number": "321-723-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N BABCOCK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-462-3330",
            "fax_number": "800-776-1503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 S Harbor City Blvd Ste 610",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329015591",
            "country_code": "US",
            "telephone_number": "321-723-7716",
            "fax_number": "321-723-0604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13020 N Telecom Pkwy",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "33637",
            "country_code": "US",
            "telephone_number": "813-978-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 NW Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303737",
            "country_code": "US",
            "telephone_number": "541-768-4906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 NW Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303737",
            "country_code": "US",
            "telephone_number": "541-768-4906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "MICHAEL",
        "middle_name": "HAWK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "167906",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS15191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103232500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HF MEDICARE",
            "identifier": "OU414",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.