Individual provider Active NPI

Meylin Lam Hernandez, MD

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1043621238
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME132303 Issued in FL
Practice address
5961 NW 173Rd Dr
Hialeah, FL 33015-5114
Phone
(305) 556-7500
Fax
(305) 698-6521
NPI assigned
May 11, 2014
Last updated
Dec 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X 132303 FL
Family Medicine Physician 207Q00000X ME132303 FL Primary

Addresses

Primary practice location

5961 NW 173Rd Dr
Hialeah, FL 33015-5114

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710

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
I20170727000816 FL Practitioner - Family PracticePractitioner - Sleep Medicine 7113297995 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME132303FLMDFamily Medicine Physician
132303FLMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Medicine Specialists of South Florida PA Sleep Medicine CurrentSince Aug 1, 2018 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 1, 2020 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

5848 Atlantic Ave
Ste 143
Delray Beach, FL 33484
Phone (561) 270-6950

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

351 NW Le Jeune Rd
Ste 308
Miami, FL 33126
Phone (305) 817-5402

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1350 SW 57th Ave
Ste 210
West Miami, FL 33144
Phone (305) 441-0744

Interoperability endpoints

  • Direct secure messaging: meylin.lam.hernandez.1@16434.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1399766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1043621238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 NW 173RD DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155114",
            "telephone_number": "305-556-7500",
            "fax_number": "305-698-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM HERNANDEZ",
        "first_name": "MEYLIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-11",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "FL",
            "license": "132303",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME132303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.