Individual provider Active NPI

Alejandro Ignacio Michel, MD

  • Interventional Cardiology Physician
  • Tampa, FL
National Provider Identifier
1962578591
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME91564 Issued in FL
Practice address
14495 Univesity Cove Place
Tampa, FL 33613-3741
Phone
(813) 336-8770
Fax
(813) 866-0001
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME91564 FL Primary
Cardiovascular Disease Physician 207RC0000X ME91564 FL

Addresses

Primary practice location

14495 Univesity Cove Place
Tampa, FL 33613-3741

Mailing address

14495 University Cove PL
Tampa, FL 33613-3741
Phone (813) 336-8770

Other identifiers 4

IdentifierTypeStateIssuer
03416OtherFLFL BLUE
5417654OtherFLAETNA
297239OtherFLAUMED
592998397COtherFLHUMANA

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
I20050804000038 FL Practitioner - Cardiovascular Disease (Cardiology) 3779511365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Albany Medical College of Union University, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Cardiology Practice, PAGroup PAC ID 3870830425, 2 clinicians
West Florida Cardiovascular Co-Management Associates, LLCGroup PAC ID 0547538316, 36 clinicians

Practice addresses (Care Compare)

14495 University Cove PL
Tampa, FL 33613-3741
Phone (813) 336-8770

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (800) 432-2301

Hospital & facility affiliations

  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • AdventHealth Carrollwood Hospital, Tampa, FL, CCN 100069
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting22
Pacemaker insertion or repair11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME91564FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Practice PA Interventional Cardiology CurrentSince Mar 4, 2019 Accepting new patients
West Florida Cardiovascular Co-Management Associates, LLC Cardiovascular Disease CurrentSince May 28, 2017 Accepting new patients
Tampa Heart & Vascular Associates LLC Cardiovascular Disease Past Accepting new patients
Northern Desert Cardiology PC Cardiovascular Disease PastSince Mar 1, 1993 Accepting new patients

Locations

13701 Bruce B Downs Blvd
Ste 105
Tampa, FL 33613
Phone (813) 781-5119

14495 University Cove Pl
Tampa, FL 33613
Phone (813) 336-8770

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFFGBD

Organizations & group practices 4

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 4

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1962578591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14495 UNIVERSITY COVE PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133741",
            "telephone_number": "813-336-8770",
            "fax_number": "813-866-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14495 UNIVESITY COVE PLACE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133741",
            "telephone_number": "813-336-8770",
            "fax_number": "813-866-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "ALEJANDRO",
        "middle_name": "IGNACIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2021-08-03",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME91564",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME91564",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "03416",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5417654",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUMED",
            "identifier": "297239",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "592998397C",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.