Active NPI
Michael A Middleton, M.D.
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1922087295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME82661
- Practice address
- 200 E Marks St
Orlando, FL 32803-3819 - Phone
- (407) 284-6460
- Fax
- (407) 284-6461
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME82661 | FL | Primary |
Addresses
Primary practice location
200 E Marks St
Orlando, FL 32803-3819
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (407) 284-6460
Other practice location 1
11600 Lakeside Village Ln
Windermere, FL 34786-7024
Phone (407) 876-2273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003456500 | Medicaid | FL | |
| M8465 | Other | FL | FL MEDICARE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201111002421 | FL | Practitioner - Pediatric Medicine | 5496165920 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- michael.middleton.1@8042.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1922087295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "407-284-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E MARKS ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328033819",
"telephone_number": "407-284-6460",
"fax_number": "407-284-6461"
}
],
"practiceLocations": [
{
"address_1": "11600 Lakeside Village Ln",
"address_purpose": "LOCATION",
"city": "Windermere",
"state": "FL",
"postal_code": "347867024",
"country_code": "US",
"telephone_number": "407-876-2273",
"fax_number": "407-347-3950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIDDLETON",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME82661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003456500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "M8465",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.