Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael S Icardi, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1700874500

Michael S Icardi, MD is a Pathology in Iowa City, Iowa. Graduated from University of Miami, Lm Miller School of Medicine in 1995, 31 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Iowa.

Years since qualifying
31
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
GA, IA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone: (319) 384-8632
Fax: (319) 384-8053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 677 Church St Ne, Marietta, GA 30060-1101 — (770) 793-5505

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 34286 (IA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 91388 (GA)

Record details

NPI number1700874500
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 6, 2005
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations16 on file with Medicare

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