John L. Michaelos, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME68672 Issued in FL

Practice address

1030 W Bay Dr
Largo, FL 33770-3225

Phone

(727) 585-2200

Fax

(727) 584-9239

NPI assigned

Apr 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Ophthalmology

Education

University of Miami, LM Miller School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Michaels Eye and Laser Institute IncGroup PAC ID 6204806201, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.9 of 100Reported as group

Quality

99.8

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St Michaels Surgery Center Inc.

  • Ambulatory Surgical Clinic/Center
  • Largo, FL
  • NPI 1336100189
  Medicare reassignment NPD Authorized official
• St Michaels Eye & Laser Institute Inc

  • Specialist
  • Largo, FL
  • NPI 1598726325
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1851353239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703225",
            "telephone_number": "727-585-2200",
            "fax_number": "813-697-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703225",
            "telephone_number": "727-585-2200",
            "fax_number": "727-584-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELOS",
        "first_name": "JOHN",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME68672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "0797481",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379316800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA PROVIDER ID",
            "identifier": "27298",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metampa, LLC
• Michael D Bruno DO PA
• Michael Demner, DPM, Inc.
• Michael K Roberts DC PA
• John Ehab Michael, DO
• Louis John Michaelos, D.O
• Louis John Michaelos, M.D.
• Michaels Pharmacy
• Laura Michaels, PA
• Michele Mason, LLC

• Ophthalmology Physician in Largo, FL
• Providers in Largo, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.