DR. MATHEW MICELI MD
NPI 1447210745
Internal Medicine - Hematology & Oncology in Demopolis, AL

Active since March 23, 2006
105 US HIGHWAY 80 E, DEMOPOLIS, AL 36732(334) 287-2647(334) 287-2405 Get Directions Write a Review

NPPES record last updated: February 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mathew Miceli Md NPPES

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

DR. MATHEW MICELI MD (NPI 1447210745) is an individual hematology & oncology provider in Demopolis, Alabama, licensed in Alabama (31266) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1447210745
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MATHEW MICELICredential: MD
Location Address105 US HIGHWAY 80 EDemopolis, AL 36732-3605
Mailing Address1400 Afflink Pl, Suite 100Tuscaloosa, AL 35406-2289 · (205) 366-9740 · Fax (205) 344-9992
Fax(334) 287-2405
Sole ProprietorYes
Enumeration DateMarch 23, 2006
Last NPPES UpdateFebruary 27, 2015
NPI 1447210745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in AL · 31266
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 20438 (MS)
105 US HIGHWAY 80 E, Demopolis, AL 36732

Other Identifiers 4

Medicaid02124094MS
Medicare PIN5121830013MS
Medicare PIN102I908364AL
Medicare UPING04464

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.

Case Manager/Care Coordinator
105 US HIGHWAY 80 E
DEMOPOLIS, AL 36732
Nurse Practitioner (Primary Care)
105 US HIGHWAY 80 E
DEMOPOLIS, AL 36732
Family Medicine
105 US HIGHWAY 80 E
DEMOPOLIS, AL 36732
Radiology (Radiation Oncology)
105 US HIGHWAY 80 E
DEMOPOLIS, AL 36732
Nurse Practitioner (Adult Health)
105 US HIGHWAY 80 E
DEMOPOLIS, AL 36732
Surgery
105 US HIGHWAY 80 E, SUITE 215
DEMOPOLIS, AL 36732
Dietitian, Registered
105 US HIGHWAY 80 E, NUTRITION DEPARTMENT
DEMOPOLIS, AL 36732
Nurse Practitioner
105 US HIGHWAY 80 E
DEMOPOLIS, AL 36732

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 Mathew Miceli's NPI number?

The NPI number for Mathew Miceli is 1447210745. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Mathew Miceli located?

Mathew Miceli practices at 105 Us Highway 80 E, Demopolis, AL 36732. The listed phone number is (334) 287-2647.

What is Mathew Miceli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Mathew Miceli was last updated on February 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.