Individual provider Active NPI

Dibe Martin, MD

  • Maternal & Fetal Medicine Physician
  • Miami, FL
National Provider Identifier
1043233646
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME73050 Issued in FL
Practice address
7300 SW 62ND Place
Suite Phe
Miami, FL 33143
Phone
(305) 662-6367
Fax
(305) 662-6370
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0073050 FL
Maternal & Fetal Medicine Physician 207VM0101X ME73050 FL Primary

Addresses

Primary practice location

7300 SW 62ND Place
Suite Phe
Miami, FL 33143

Mailing address

7300 SW 62ND Place
Suite Phe
Miami, FL 33143
Phone (305) 662-6367

Other identifiers 1

IdentifierTypeStateIssuer
252425200MedicaidFL

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
I20040820000772 FL Practitioner - Obstetrics/Gynecology 3971577446 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0073050FLMDSpecialist
ME73050FLMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Maternal & Fetal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Recinto de Ciencias Medicas Maternal & Fetal Medicine Past Accepting new patients
University of Miami Past Accepting new patients
South Florida Perinatal Medicine Specialist PastSince Oct 6, 2004 Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

7300 SW 62nd Pl
Ph
South Miami, FL 33143
Phone (305) 662-9320

7300 SW 62nd Pl
Ste Phe
South Miami, FL 33143
Phone (305) 662-6367

7300 SW 62nd Pl
South Miami, FL 33143
Phone (305) 661-1962

Interoperability endpoints

  • Direct secure messaging: clinical@mfmssf.directbygreenway.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1043233646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SW 62ND PLACE",
            "address_2": "SUITE PHE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-662-6367",
            "fax_number": "305-662-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SW 62ND PLACE",
            "address_2": "SUITE PHE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-662-6367",
            "fax_number": "305-662-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DIBE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0073050",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME73050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252425200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.