NPIMap

Organization Active NPI

University of Miami

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1104876622
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
UNIVERSITY OF MIAMI
Practice address
1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Phone
(305) 243-7688
Fax
(305) 243-8470
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Cesia A Sanchez
Title
Provider Enrollment Manager
Phone
(305) 243-6837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Phone (305) 243-7688

Other identifiers 1

IdentifierTypeStateIssuer
060570101MedicaidFL

Other names 1

  • UMiami Medicine - Radiology Doing business as

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 2,403

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 2,403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, MD, WA, TX, NY, CO7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20200406001006 FL Part B Supplier - Clinic/Group Practice 3274795109 Receives reassigned benefits from 3,555 practitioners
This NPI is an additional NPI on the enrollment
O20210730000545 CA Part B Supplier - Clinic/Group Practice 3274795109 Receives reassigned benefits from 2 practitioners
Practice locations: Riverside, CA; San Diego, CA
O20210914003163 MD Part B Supplier - Clinic/Group Practice 1759288707 Receives reassigned benefits from 3 practitioners
Practice locations: Columbia, MD; Edgewater, MD; Lutherville, MD
O20211110002963 WA Part B Supplier - Clinic/Group Practice 1759288707 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA
O20230802000640 TX Part B Supplier - Clinic/Group Practice 1759288707 Receives reassigned benefits from 1 practitioner
Practice locations: Southlake, TX
O20250115000090 NY Part B Supplier - Clinic/Group Practice 1759288707 Receives reassigned benefits from 1 practitioner
Practice locations: Purchase, NY
O20250924002342 CO Part B Supplier - Clinic/Group Practice 1759288707 Receives reassigned benefits from 2 practitioners
Practice locations: Durango, CO; Englewood, CO

National Provider Directory

National Provider Directory

Locations

1475 NW 12th Ave
Ste C80
Miami, FL 33136

8400 NW 53rd St
Miami, FL 33166

1150 NW 14th St
Ste 511
Miami, FL 33136
Phone (305) 243-1579

1475 NW 12th Ave
Ste C87
Miami, FL 33136

900 NW 17th St
#65
Miami, FL 33136

1611 NW 12th Ave
#279
Miami, FL 33136
Phone (305) 585-7500

8150 SW 10th St
Plantation, FL 33324
Phone (954) 210-1000

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1104876622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "BOX 016960 M851",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-7688",
            "fax_number": "305-243-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "BOX 016960 M851",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-7688",
            "fax_number": "305-243-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "CESIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "305-243-6837"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060570101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMiami Medicine - Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.