MICHAEL ANDREW MINICHIELLO (DO) – Critical Care Medicine (Internal Medicine) Physician, NPI 1831650845

MICHAEL ANDREW MINICHIELLO (DO) is a healthcare provider. based in Atlanta, Georgia. specializing in CRITICAL CARE (INTENSIVISTS). They hold the professional credentials DO. They hold a License No. 89184 (GA). The NPI Number for MICHAEL ANDREW MINICHIELLO (DO) is 1831650845

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL ANDREW MINICHIELLO (DO)
NPI
1831650845
Phone
(404) 257-0006
Address
960 JOHNSON FERRY RD STE 500
Enumeration Date
31 March 2019
Last Update Date
30 October 2024

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
4042570006
Graduation Year
2019 (7 years ago)
PAC ID
7416280987
Group Practice PAC ID
9638343924
Professional Enrollment ID
I20240617002515
Address ID
GA303421630AT960XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

644 CRITICAL CARE (INTENSIVISTS) in GA

Provider Addresses for MICHAEL ANDREW MINICHIELLO (DO)

  • 960 JOHNSON FERRY RD STE 500

    ATLANTA, GA 303421630

    Phone: (404) 257-0006

    Fax: (404) 851-1316

    Type: Mailing

  • 1234, Northwest 110th Terrace, Coral Springs, Broward County, Florida, 33071, United States

    CORAL SPRINGS, FL 330718201

    Phone: (954) 415-4295

    Type: Mailing

  • Redmond Regional Medical Center, 501, Redmond Road, Mount Berry, Rome, Floyd County, Georgia, 30165, United States

    ROME, GA 30165

    Phone: (954) 415-4295

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Octapharma USA, Inc. ($31).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240617002515ICritical Care (Intensivists)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30342)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638343924View full group profile
NameSpecialtyState
Family PracticeGA
Nurse PractitionerNC
Nurse PractitionerGA
Internal MedicineGA
Internal MedicineGA
Internal Medicine, EndocrinologyGA
-GA
-NV
N E U R O L O G YTX
-GA

Reviews

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Frequently asked questions

Can I use this page to confirm MICHAEL ANDREW MINICHIELLO (DO)'s NPI?
Yes. MICHAEL ANDREW MINICHIELLO (DO) is listed with NPI 1831650845 in the public NPI dataset.
Is MICHAEL ANDREW MINICHIELLO (DO) still practicing?
MICHAEL ANDREW MINICHIELLO (DO) is currently listed as active in the public NPI registry.
What healthcare role does MICHAEL ANDREW MINICHIELLO (DO) hold?
Scheduling teams often label MICHAEL ANDREW MINICHIELLO (DO) under Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is MICHAEL ANDREW MINICHIELLO (DO) based?
MICHAEL ANDREW MINICHIELLO (DO) is tied to Atlanta, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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