Individual provider Active NPI

Kate Ivy Macia, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1104195585
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106359 Issued in FL
Practice address
7800 SW 87TH Ave Ste a-110
Miami, FL 33173-3570
Phone
(305) 596-2828
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106359 FL Primary

Addresses

Primary practice location

7800 SW 87TH Ave Ste a-110
Miami, FL 33173-3570

Mailing address

7800 SW 87TH Ave Ste A110
Miami, FL 33173-3570
Phone (305) 596-2828

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
I20120320000343 FL Practitioner - Physician Assistant 5395905954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 125
Boca Raton, FL 33487-5714
Phone (561) 939-0800

3905 NW 107TH Ave
Doral, FL 33178-2785

6125 SW 31St St
Miami, FL 33155-3003
Phone (305) 666-6511

660 Glades Rd
Suite 360
Boca Raton, FL 33431-6469
Phone (561) 391-5515

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Mar 15, 2024 Accepting new patients
Ortho Florida, LLC CurrentSince Mar 15, 2024 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

3905 NW 107th Ave
Ste 403
Doral, FL 33178
Phone (305) 596-2828

3650 NW 82nd Ave
Ste 103
Doral, FL 33166
Phone (305) 227-4263

6125 SW 31st St
Miami, FL 33155
Phone (305) 662-5056

Organizations & group practices 2

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": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1104195585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVE STE A110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733570",
            "telephone_number": "305-596-2828",
            "fax_number": "305-596-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVE STE A-110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733570",
            "telephone_number": "305-596-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIA",
        "first_name": "KATE",
        "middle_name": "IVY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.