Individual provider Active NPI

Michael Miksa, M.D.

  • Pediatric Critical Care Medicine Physician
  • Bronx, NY
National Provider Identifier
1881854735
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
265433 Issued in NY
Practice address
111 E 210TH St
Children'S Hospital at Montefiore
Bronx, NY 10467-2401
Phone
(212) 810-9986
NPI assigned
Jun 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 265433 NY Primary
Pediatrics Physician 208000000X 265433 NY

Addresses

Primary practice location

111 E 210TH St
Children'S Hospital at Montefiore
Bronx, NY 10467-2401

Mailing address

111 E 210TH St
Children'S Hospital at Montefiore
Bronx, NY 10467-2401
Phone (212) 810-9986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140924001333 NY Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 7012188451 Reassigns benefits to 1 organization
I20160915002082 FL Practitioner - Critical Care (Intensivists) 7012188451 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jul 4, 2016 Accepting new patients
Montefiore Medical Center Pediatrics CurrentSince Jul 1, 2014 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2014 Accepting new patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Jul 4, 2016 Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1801 Lee Rd
Ste 165
Winter Park, FL 32789
Phone (407) 975-0406

111 E 210th St
Bronx, NY 10467

3411 Wayne Ave
Rm 835
Bronx, NY 10467

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mmiksa@montefioredirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1881854735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "address_2": "CHILDREN'S HOSPITAL AT MONTEFIORE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "212-810-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "address_2": "CHILDREN'S HOSPITAL AT MONTEFIORE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "212-810-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKSA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NY",
            "license": "265433",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "265433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.