MICHAEL J HAIKEN MD PA
NPI 1326193202
Dermatology - MOHS-Micrographic Surgery in Fort Myers, FL
About Michael J Haiken Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL J HAIKEN MD PA (NPI 1326193202) is a healthcare organization registered as a mohs-micrographic surgery in Fort Myers, Florida and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through March 14, 2027 and lists Michael J Haiken, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael J Haiken Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Michael J Haiken MD PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 10D2123718
Michael J Haiken MD PA · Fort Myers, FLFrequently 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 J Haiken MD PA's NPI number?
The NPI number for Michael J Haiken MD PA is 1326193202. It was assigned to this organization in the NPPES registry on January 24, 2007.
Where is Michael J Haiken MD PA located?
Michael J Haiken MD PA is located at 13691 Metro Pkwy Suite 310, Fort Myers, FL 33912. The listed phone number is (239) 691-3987.
What is Michael J Haiken MD PA's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.
Is Michael J Haiken MD PA enrolled in Medicare?
Yes. Michael J Haiken MD PA is registered in the Medicare PECOS enrollment system.
When is Michael J Haiken MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Michael J Haiken MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Michael J Haiken MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Dermatology (2). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Michael J Haiken MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 10D2123718) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Michael J Haiken MD PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Michael J Haiken MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Michael J Haiken MD PA was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Michael J Haiken Md Pa · NPI 1326193202
MOHS-Micrographic Surgery organization in Fort Myers, Florida. Organization record, active in the CMS NPPES registry since January 24, 2007.
## Identity
- **NPI:** 1326193202 (Entity type: Organization)
- **Enumerated:** January 24, 2007
- **Primary specialty:** Dermatology - MOHS-Micrographic Surgery · taxonomy 207ND0101X
- **Organization subpart:** No
- **Authorized official:** Michael Haiken, PRESIDENT
## Practice location
- **Address:** 13691 METRO PKWY, SUITE 310, Fort Myers, FL 33912-4327
- **Phone:** (239) 691-3987
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Dermatology (2); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 4, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326193202) · Data from the CMS NPPES public registry.