Individual provider Active NPI

Michael John Ayres, DPM

  • Foot & Ankle Surgery Podiatrist
  • Palm Bay, FL
National Provider Identifier
1861497158
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 0002186 Issued in FL
Practice address
910 Malabar Rd SE
Ste 1
Palm Bay, FL 32907-3200
Phone
(321) 722-0000
Fax
(321) 768-0085
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO 0002186 FL Primary

Addresses

Primary practice location

910 Malabar Rd SE
Ste 1
Palm Bay, FL 32907-3200

Mailing address

910 Malabar Rd SE
Ste 1
Palm Bay, FL 32907-3200
Phone (321) 722-0000

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111116000046 FL Practitioner - Podiatry 9335262906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

910 Malabar Rd SE
Suite 1
Palm Bay, FL 32907-3200

Hospital & facility affiliations

  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of nail tissue1518
Removal or shaving of skin growth1507
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 0002186FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J. Ayres, DPM, PA Foot & Ankle Surgery CurrentSince Oct 17, 1991 Accepting new patients

Locations

910 Malabar Rd SE
Ste 1
Palm Bay, FL 32907
Phone (321) 722-0000

Organizations & group practices 1

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1861497158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MALABAR RD SE",
            "address_2": "STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073200",
            "telephone_number": "321-722-0000",
            "fax_number": "321-768-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MALABAR RD SE",
            "address_2": "STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073200",
            "telephone_number": "321-722-0000",
            "fax_number": "321-768-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRES",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 0002186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.