Individual provider Active NPI

Saleh Hernandez-Cassis, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1114020534
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME90666 Issued in FL
Practice address
15516 SW 88TH St
Miami, FL 33196-1554
Phone
(305) 387-3300
Fax
(305) 383-9945
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME-90666 FL
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME-90666 FL
General Practice Physician 208D00000X ME90666 FL Primary

Addresses

Primary practice location

15516 SW 88TH St
Miami, FL 33196-1554

Mailing address

6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Phone (305) 408-3562

Other identifiers 1

IdentifierTypeStateIssuer
272459600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address saleh.hernandezcassis@conviva.eclinicaldirectplus.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
I20040916000241 FL Practitioner - Geriatric MedicinePractitioner - Internal Medicine 9133196314

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-90666FLMDInternal Medicine Physician
ME90666FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alejandro Pedrozo III MD PA PastSince Nov 3, 2000 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: saleh.hernandezcassis@conviva.eclinicaldirectplus.com

Organizations & group practices 1

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1114020534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "305-408-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15516 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961554",
            "telephone_number": "305-387-3300",
            "fax_number": "305-383-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-CASSIS",
        "first_name": "SALEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME-90666",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME-90666",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME90666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272459600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "saleh.hernandezcassis@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15516 SW 88th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331961554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.