Organization Active NPI

Excel Medical Associates, Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1053797480
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME110670 Issued in FL
Legal business name
EXCEL MEDICAL ASSOCIATES, INC
Practice address
15490 NW 7TH Ave Ste 101
Miami, FL 33169-6229
Phone
(305) 364-5778
NPI assigned
Aug 7, 2015
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Joseph Durandis, MDNPI 1396038766
Title
President
Phone
(305) 364-5778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME110670 FL Primary

Addresses

Primary practice location

15490 NW 7TH Ave Ste 101
Miami, FL 33169-6229

Mailing address

15490 NW 7TH Ave Ste 101
Miami, FL 33169-6229
Phone (305) 364-5778

Other identifiers 1

IdentifierTypeStateIssuer
004375900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160608002483 FL Part B Supplier - Clinic/Group Practice 1052601754 Receives reassigned benefits from 6 practitioners
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2118872Excel Medical Associates Inc15490 NW 7TH Avenue, Miami, FL 33169Certificate of waiverSep 14, 2026

National Provider Directory

National Provider Directory

Locations

15490 NW 7th Ave
Ste 101
Miami, FL 33169
Phone (305) 364-5778

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1053797480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15490 NW 7TH AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696229",
            "telephone_number": "305-364-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15490 NW 7TH AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696229",
            "telephone_number": "305-364-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "DURANDIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-364-5778",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME110670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004375900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.