Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL DESROSIERS MD
NPI 1295295863
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since March 21, 2019PECOS Enrolled
1611 NW 12TH AVE, MIAMI, FL 33136(813) 952-7351 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2026, Mar 21, 2019 (2 updates tracked since 2019).

About Dr. Michael Desrosiers Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL DESROSIERS MD (NPI 1295295863) is an individual student in an organized health care education/training program in Miami, Florida, licensed in New Mexico (MD2026-0526) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295295863
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MICHAEL DESROSIERSCredential: MD
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address714 S Bella Vista StTampa, FL 33609-4305 · (813) 952-7351
Sole ProprietorNo
Enumeration DateMarch 21, 2019
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
NPI 1295295863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NM · MD2026-0526
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1611 NW 12TH AVE, Miami, FL 33136

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michael Desrosiers Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Desrosiers's NPI number?

The NPI number for Michael Desrosiers is 1295295863. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Michael Desrosiers located?

Michael Desrosiers practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (813) 952-7351.

What is Michael Desrosiers's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Desrosiers enrolled in Medicare?

Yes. Michael Desrosiers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Desrosiers was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.