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Individual provider Active NPI

Elias A Feanny, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1003869918
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME76407 Issued in FL
Practice address
9275 SW 152 St
Ste 101
Miami, FL 33157
Phone
(305) 253-8869
Fax
(305) 233-9726
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME76407 FL Primary

Addresses

Primary practice location

9275 SW 152 St
Ste 101
Miami, FL 33157

Mailing address

9275 SW 152 St
Ste 101
Miami, FL 33157
Phone (305) 253-8869

Other identifiers 1

IdentifierTypeStateIssuer
255480100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110623000322 FL Practitioner - Internal Medicine 2466630330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elias a M Feanny MD PAGroup PAC ID 3476731340, 3 clinicians

Practice addresses (Care Compare)

9275 SW 152ND St
Suite 101
Palmetto Bay, FL 33157-1773
Phone 3052538869108

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Bristol Hospice - Miami Dade, LLC Hospice, Miami, FL, CCN 101558
  • Homestead Hospital Hospital, Homestead, FL, CCN 100125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elias a M Feanny MD PA Internal Medicine CurrentSince Jun 14, 2011 Accepting new patients
Optimal Primary Care & Wellness, LLC Current Accepting new patients

Locations

9275 SW 152nd St
Ste 101
Palmetto Bay, FL 33157
Phone (305) 253-8869

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAGBCD/Endpoint/DAGBCD

Organizations & group practices 2

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

Hospital & facility affiliations 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1003869918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 SW 152 ST",
            "address_2": "STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33157",
            "telephone_number": "305-253-8869",
            "fax_number": "305-233-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 SW 152 ST",
            "address_2": "STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33157",
            "telephone_number": "305-253-8869",
            "fax_number": "305-233-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEANNY",
        "first_name": "ELIAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME76407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255480100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.