Individual provider Active NPI

Marie Yolette Celoge, M.D.

  • General Practice Physician
  • North Miami, FL
National Provider Identifier
1073848834
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN 309 Issued in FL
Practice address
12615 W Dixie Hwy
North Miami, FL 33161-4803
Phone
(305) 777-3554
Fax
(786) 693-8191
NPI assigned
Oct 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN 309 FL Primary

Addresses

Primary practice location

12615 W Dixie Hwy
North Miami, FL 33161-4803

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other names 1

  • Marie Yolette Eliacin Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marie.yolette.celoge.1@29601.direct.athenahealth.com Direct

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
I20100319000543 FL Practitioner - General Practice 7012042708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

10401 SW 40TH St
Miami, FL 33165-3745
Phone (305) 222-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Medical Consultants, LLC. General Practice CurrentSince May 1, 2023 Accepting new patients
Conviva Medical Center Management LLC General Practice CurrentSince Dec 12, 2024 Accepting new patients
Metcare of Florida Past Accepting new patients

Locations

7291 Atlantic Ave
#48
Delray Beach, FL 33446
Phone (561) 344-1130

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

2417 US Highway 98 N
Lakeland, FL 33805
Phone (863) 821-0030

7500 SW 8th St
Ste 400
Miami, FL 33144

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

10401 SW 40th St
Miami, FL 33165
Phone (305) 221-9657

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1200 Alton Rd
Miami Beach, FL 33139
Phone (305) 534-3242

12615 W Dixie Hwy
North Miami, FL 33161
Phone (305) 777-3554

12615 W Dixie Hwy
Bldg A
North Miami, FL 33161
Phone (305) 777-3554

1400 NW 107th Ave
Ste 500
Sweetwater, FL 33172
Phone (786) 534-4285

7495 N University Dr
Tamarac, FL 33321
Phone (954) 306-9037

Interoperability endpoints

  • Direct secure messaging: marie.yolette.celoge.1@29601.direct.athenahealth.com

Organizations & group practices 3

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": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1073848834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12615 W DIXIE HWY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614803",
            "telephone_number": "305-777-3554",
            "fax_number": "786-693-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELOGE",
        "first_name": "MARIE",
        "middle_name": "YOLETTE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN 309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marie.yolette.celoge.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12615 W Dixie Hwy",
            "city": "North Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331614803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "ELIACIN",
            "middle_name": "YOLETTE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.