MICHAEL LEARY MD
NPI 1588304174
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since March 31, 2022PECOS Enrolled
1611 NW 12TH AVE, MIAMI, FL 33136(561) 889-7781 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Leary Md NPPES

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

MICHAEL LEARY MD (NPI 1588304174) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Florida Atlantic University, College Of Medicine (2022).

NPPES Registry Identity

NPI1588304174
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL LEARYCredential: MD
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1611 Nw 12th Ave # MMiami, FL 33136-1005
Sole ProprietorNo
Medical School CMSFlorida Atlantic University, College Of MedicineGraduated 2022
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
NPI 1588304174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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)

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

PECOS PAC ID8426529488
PECOS Enrollment IDI20260610001631
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 Leary's NPI number?

The NPI number for Michael Leary is 1588304174. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Michael Leary located?

Michael Leary practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (561) 889-7781.

What is Michael Leary'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 Leary enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Leary was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.