Individual provider Active NPI

Oscar Dalmau, P.A.

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1063425502
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101124 Issued in FL
Practice address
11422 SW 42ND St
Miami, FL 33165-4617
Phone
(305) 609-3307
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9101124 FL
Physician Assistant 363A00000X PA9101124 FL Primary

Addresses

Primary practice location

11422 SW 42ND St
Miami, FL 33165-4617

Mailing address

11422 SW 42ND St
Miami, FL 33165-4617
Phone (305) 609-3307

Other identifiers 1

IdentifierTypeStateIssuer
291140000MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728001629 FL Practitioner - Physician Assistant 6103896964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Health Consulting Associates, LLCGroup PAC ID 9234435876, 3 clinicians

Practice addresses (Care Compare)

3143 NE 163Rd St
North Miami Beach, FL 33160-4463
Phone (305) 343-1365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101124FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ap of Nashville, LLC Surgical Past Accepting new patients
Prohealth Select, Inc. Physician Assistant PastSince Dec 17, 2020 Accepting new patients
Healthcare Surgical Services, Inc. Surgical Past Accepting new patients

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1063425502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11422 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654617",
            "telephone_number": "305-609-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11422 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654617",
            "telephone_number": "305-609-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALMAU",
        "first_name": "OSCAR",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9101124",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291140000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.