Individual provider Active NPI

Michael Feanny, M.D.

  • Orthopaedic Surgery Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1922047588
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME46904 Issued in FL
Practice address
4850 W Oakland Park Blvd
Suite 201
Lauderdale Lakes, FL 33313-7260
Phone
(954) 735-3535
Fax
(954) 484-7000
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME46904 FL
Orthopaedic Surgery Physician 207X00000X ME46904 FL Primary

Addresses

Primary practice location

4850 W Oakland Park Blvd
Suite 201
Lauderdale Lakes, FL 33313-7260

Mailing address

4850 W Oakland Park Blvd
Suite 201
Lauderdale Lakes, FL 33313-7260
Phone (954) 735-3535

Other identifiers 1

IdentifierTypeStateIssuer
370800400MedicaidFL

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
I20040908001515 FL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4587630736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Orthopaedic Care PAGroup PAC ID 6709852957, 16 clinicians

Practice addresses (Care Compare)

4850 W Oakland Park BL
Suite 201
Lauderdale Lakes, FL 33313-7268
Phone (954) 735-3535

4850 W Oakland Park Blvd
Suite 201
Lauderdale, FL 33313-7268

5000 W Oakland Park Blvd
Fort Lauderdale, FL 33313-1503
Phone (954) 735-6000

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Orthopaedic Care PA Orthopaedic Surgery CurrentSince Aug 5, 1983 Accepting new patients
Total Orthopaedic Care, P.a. Orthopaedic Surgery CurrentSince Aug 5, 1983 Accepting new patients

Locations

4850 W Oakland Park Blvd
Ste 201
Lauderdale Lakes, FL 33313
Phone (305) 735-3535

10794 Pines Blvd
Ste 102104
Pembroke Pines, FL 33026
Phone (954) 735-3535

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1922047588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD",
            "address_2": "SUITE 201",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137260",
            "telephone_number": "954-735-3535",
            "fax_number": "954-484-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD",
            "address_2": "SUITE 201",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137260",
            "telephone_number": "954-735-3535",
            "fax_number": "954-484-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEANNY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME46904",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME46904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370800400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.