Active NPI
Mary Michael
- Dermatology Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- OS18944
- Practice address
- 1001 NW 13TH St Ste 100
Boca Raton, FL 33486-2269 - Phone
- (305) 740-6140
- NPI assigned
- Apr 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | OS18944 | FL | |
| Dermatology Physician | 207N00000X | OS18944 | FL | Primary |
Addresses
Primary practice location
1001 NW 13TH St Ste 100
Boca Raton, FL 33486-2269
Mailing address
1906 Muirfield Way
Oldsmar, FL 34677-1935
Phone (727) 389-8252
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 NW 13TH St
Suite 100
Boca Raton, FL 33486-2269
Phone (561) 750-0544
Hospital & facility affiliations
- Haven Home Health Care
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 17 |
| Removal of skin lesions | 131 |
| Removal of skin cancer | 94 |
| Skin biopsy | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Group of Florida, P.a. | Dermatology | Current | Accepting new patients |
Locations
1001 NW 13th St
Ste 100
Boca Raton, FL 33486
Phone (561) 750-0544
13732 17th St
Dade City, FL 33525
Phone (800) 809-4811
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
4200 N Armenia Ave
Ste 12
Tampa, FL 33607
Phone (813) 877-4811
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.
-
- Dermatology Physician
- South Miami, FL
- NPI 1497806459
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Boca Raton, FL
- NPI 1245899020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1881213650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906 MUIRFIELD WAY",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346771935",
"telephone_number": "727-389-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 NW 13TH ST STE 100",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862269",
"telephone_number": "305-740-6140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-13",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "OS18944",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "OS18944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.