NPIMap

Organization Active NPI

Public Health Trust of Miami Dade County Florida

Doing business as PHT/JHS-JMH Hospitalists

  • Hospitalist Physician
  • Miami, FL
National Provider Identifier
1043395460
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Doing business as
PHT/JHS-JMH Hospitalists
Practice address
1611 NW 12TH Ave
Miami, FL 33136-1005
Phone
(305) 585-8957
Fax
(305) 585-5259
NPI assigned
Oct 25, 2006
Last updated
Jun 18, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PHT OF DADE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Authorized official

Name
Mr. Mark T Knight
Title
Executive VP, Cfo
Phone
(305) 585-7137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Miami, FL 33136-1005

Mailing address

1500 NW 12TH Ave
Jackson Medical Towers Suite 1129
Miami, FL 33136-1051
Phone (305) 585-8957

Other identifiers 1

IdentifierTypeStateIssuer
272051500MedicaidFL

Other names 1

  • PHT/JHS-JMH Hospitalists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000037 FL Part B Supplier - Clinic/Group Practice 8628981925 Receives reassigned benefits from 94 practitioners
16 other NPIs on this enrollment
Practice locations: Miami, FL

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Public HLTH Trust of Da54 organizations share this tax ID, including this one
Part of
Public HLTH Trust of Da

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

1500 NW 12th Ave
Ste 1129
Miami, FL 33136
Phone (305) 585-8957

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Public Health Trust of Miami Dade County FloridaMiami, FL, CCN 100022 Hospital Operational/Managerial Control (100%) Oct 1, 1973
Jackson Memorial Long Term Care CenterMiami, FL, CCN 105392 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Apr 25, 1992
Apr 25, 1992
May 5, 2025
Public Health Trust of Miami Dade County FloridaCutler Bay, FL, CCN 105252 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Adp of the SNF		 Oct 1, 1973
Oct 1, 1973
Oct 1, 1973

Owned or controlled facilities with NPI records 25

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 25

Practitioners & affiliated clinicians

Practitioners 122

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 122

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1043395460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 12TH AVE",
            "address_2": "JACKSON MEDICAL TOWERS SUITE 1129",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361051",
            "telephone_number": "305-585-8957",
            "fax_number": "585-585-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-8957",
            "fax_number": "305-585-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHT OF DADE COUNTY",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE VP, CFO",
        "authorized_official_telephone_number": "305-585-7137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272051500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHT/JHS-JMH Hospitalists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHT/JHS-JMH Hospitalists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.