Individual provider Active NPI

Anthony Jose Dieguez, DO

  • Family Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1003471178
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS18592 Issued in FL
Practice address
16470 NE 10TH Ave
North Miami Beach, FL 33162-3710
Phone
(305) 651-9988
NPI assigned
May 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X OS18592 FL Primary

Addresses

Primary practice location

16470 NE 10TH Ave
North Miami Beach, FL 33162-3710

Mailing address

16470 NE 10TH Ave
North Miami Beach, FL 33162-3710
Phone (305) 651-9988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220520002329 FL Practitioner - Family Practice 8022341700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P M Group FL LLCGroup PAC ID 0941614135, 3 clinicians
Scott R English MD PAGroup PAC ID 5991699514, 5 clinicians

Practice addresses (Care Compare)

1001 NE 3Rd Ave
Woodhouse
Pompano Beach, FL 33060-5712
Phone (954) 786-0344

16470 NE 10TH Ave
North Miami Beach, FL 33162-3710
Phone (305) 651-9988

2209 N University Dr
Pembroke Pines, FL 33024-3611
Phone (954) 966-5701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS18592FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott R English MD PA Family Medicine CurrentSince May 1, 2022 Accepting new patients
Scott R English MD PA Family Medicine CurrentSince May 1, 2022 Accepting new patients
P M Group FL LLC Family Medicine CurrentSince May 1, 2022 Accepting new patients
Knock Your Socks Off Foot & Ankle Specialist LLC Past Accepting new patients

Locations

16470 NE 10th Ave
North Miami Beach, FL 33162
Phone (305) 651-9988

2209 N University Dr
Pembroke Pines, FL 33024
Phone (954) 966-5700

1001 NE 3rd Ave
Pompano Beach, FL 33060
Phone (954) 786-0344

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1003471178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16470 NE 10TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623710",
            "telephone_number": "305-651-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16470 NE 10TH AVE",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623710",
            "telephone_number": "305-651-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEGUEZ",
        "first_name": "ANTHONY",
        "middle_name": "JOSE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-04",
        "last_updated": "2022-04-01",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS18592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.