Individual provider Active NPI

Muller Sanon

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1093469892
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015416 Issued in FL
Practice address
31 NE 150TH St
Miami, FL 33161-2025
Phone
(786) 260-5929
NPI assigned
Feb 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11015416 FL Primary

Addresses

Primary practice location

31 NE 150TH St
Miami, FL 33161-2025

Mailing address

31 NE 150TH St
Miami, FL 33161-2025
Phone (786) 260-5929

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
I20230504000520 FL Practitioner - Nurse Practitioner 4880059468 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandc Medical Services CorpGroup PAC ID 1557795903, 4 clinicians
SMD Medservices LLCGroup PAC ID 4385070929, 6 clinicians

Practice addresses (Care Compare)

201 NW 82ND Ave
305 Trucare Medical Center
Plantation, FL 33324-1855
Phone (954) 533-8353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11015416FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
S&C Medical Services Corp CurrentSince Jan 1, 2025 Accepting new patients
Unique Healthcare & Wellness Corp Current Accepting new patients
Catholic Health Services Inc CurrentSince Apr 1, 2023 Accepting new patients
SMD Medservices LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

3487 NW 30th St
Lauderdale Lakes, FL 33311
Phone (954) 641-4200

4790 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 484-1515

955 NW 3rd St
Miami, FL 33128
Phone (305) 416-5700

14001 NW 82nd Ave
Miami Lakes, FL 33016
Phone (786) 437-3397

1050 NE 125th St
North Miami, FL 33161
Phone (305) 357-1735

201 NW 82nd Ave
Ste 305
Plantation, FL 33324
Phone (954) 424-4218

9211 W Broward Blvd
Plantation, FL 33324
Phone (754) 216-7083

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/cybermed_chs

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1093469892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NE 150TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331612025",
            "telephone_number": "786-260-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 NE 150TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331612025",
            "telephone_number": "786-260-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANON",
        "first_name": "MULLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.