Individual provider Active NPI

Michael Stanley Wertheim, MD

  • Hematology & Oncology Physician
  • Fort Myers, FL
National Provider Identifier
1982643474
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME46325 Issued in FL
Practice address
8931 Colonial Center Dr Ste 300
Fort Myers, FL 33905-7809
Phone
(239) 343-9567
Fax
(239) 343-9571
NPI assigned
Jun 6, 2006
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0046325 FL
Hematology & Oncology Physician 207RH0003X ME46325 FL Primary

Addresses

Primary practice location

8931 Colonial Center Dr Ste 300
Fort Myers, FL 33905-7809

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-9567

Other practice location 1

1871 SE Tiffany Ave
Suite 100
Port St Lucie, FL 34952-7585
Phone (772) 335-5666

Other identifiers 4

IdentifierTypeStateIssuer
56158OtherFLBLUE CROSS BLUE SHIELD
830003200OtherFLRAILROAD MEDICARE
0046325OtherFLFLORIDA MEDICAL LICENSE
047329400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM2 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
I20100707000066 FL Practitioner - Hematology/Oncology 9133133309 Reassigns benefits to 3 organizations
I20240208001463 NM Practitioner - Hematology/Oncology 9133133309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
State University of New York Downstate Medical Center, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHC-Las Cruces IncGroup PAC ID 4486635802, 22 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

2530 S Telshor Blvd
Suite 107
Las Cruces, NM 88011-4974
Phone (575) 521-1554

2530 S Telshor Blvd
Suite 201
Las Cruces, NM 88011-4907
Phone (575) 521-5277

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as group
Quality
78.28
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0046325FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Practices, LLC CurrentSince Apr 1, 2026 Accepting new patients
PHC-Las Cruces Inc Current Accepting new patients
Hem Onc Associates of the Treasure Coast, PA CurrentSince Oct 1, 1996 Accepting new patients
Lee Memorial Health System CurrentSince Nov 10, 2024 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Apr 1, 2026 Accepting new patients
Lee Memorial Health System CurrentSince Nov 10, 2024 Accepting new patients
Hem Onc Associates of the Treasure Coast, PA Hematology & Oncology CurrentSince Oct 1, 1996 Accepting new patients
PHC Las Cruces Inc. CurrentSince Jan 23, 2024 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2024 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2024 Accepting new patients
PHC Las Cruces Inc CurrentSince Jan 23, 2024 Accepting new patients
Lee Memorial Health System Current Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

8925 Colonial Center Dr
Ste 2002
Fort Myers, FL 33905
Phone (239) 343-5864

8931 Colonial Center Dr
Ste 300
Fort Myers, FL 33905
Phone (239) 343-9567

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

2100 Nebraska Ave
Ste 107
Fort Pierce, FL 34950
Phone (561) 220-4820

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

1871 SE Tiffany Ave
Ste 100
Port St Lucie, FL 34952
Phone (772) 335-5666

140 SW Chamber Ct
Ste 300
Saint Lucie West, FL 34986
Phone (772) 336-2992

2081 SE Ocean Blvd
Ste 2A
Stuart, FL 34996
Phone (772) 223-5982

501 SE Osceola St
Ste 303
Stuart, FL 34994
Phone (772) 223-5982

2450 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-5800

2530 S Telshor Blvd
Ste 107
Las Cruces, NM 88011
Phone (575) 556-6440

2530 S Telshor Blvd
Ste 201
Las Cruces, NM 88011
Phone (505) 521-1554

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: michael.wertheim@tcoast.ikm.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1761782400000",
    "number": "1982643474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-9567",
            "fax_number": "393-439-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 COLONIAL CENTER DR STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057809",
            "telephone_number": "239-343-9567",
            "fax_number": "239-343-9571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1871 SE Tiffany Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349527585",
            "country_code": "US",
            "telephone_number": "772-335-5666",
            "fax_number": "772-335-4826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERTHEIM",
        "first_name": "MICHAEL",
        "middle_name": "STANLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "0046325",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME46325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "56158",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "830003200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "0046325",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047329400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.