Individual provider Active NPI

Abdulwahab Aldousany, MD

  • Pediatric Cardiology Physician
  • Miami, FL
National Provider Identifier
1114038551
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
ME38928 Issued in FL
Practice address
8955 SW 87TH CT Ste 104
Miami, FL 33176-2264
Phone
(305) 270-1113
NPI assigned
Aug 31, 2006
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X ME38928 FL Primary

Addresses

Primary practice location

8955 SW 87TH CT Ste 104
Miami, FL 33176-2264

Mailing address

5955 Ponce de Leon Blvd
Coral Gables, FL 33146-2423
Phone (305) 662-8668

Other practice location 1

5955 Ponce De Leon Blvd
Coral Gables, FL 33146-2423
Phone (305) 662-8668 ext. 243

Other identifiers 1

IdentifierTypeStateIssuer
376842200MedicaidFL

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
I20041105000281 FL Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 7517920085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidz Medical Services IncGroup PAC ID 3678536240, 24 clinicians

Practice addresses (Care Compare)

8955 SW 87TH CT
Suite 104
Miami, FL 33176-2264
Phone (305) 270-1113

975 Baptist Way
Homestead, FL 33033-7600
Phone 3056611515243

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Medical Services, Inc Pediatric Cardiology CurrentSince Jul 9, 2014 Accepting new patients
Kidz Medical Services, Inc CurrentSince Jul 9, 2014 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500

5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668

1150 N 35th Ave
Ste 545
Hollywood, FL 33021
Phone (954) 966-6225

975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200

8955 SW 87th Ct
Ste 104
Miami, FL 33176
Phone (305) 270-1113

8955 SW 87th Ct
Ste 110
Miami, FL 33176
Phone (305) 270-1113

Interoperability endpoints

  • Direct secure messaging: abdulaldousany@kms.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1114038551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462423",
            "telephone_number": "305-662-8668",
            "fax_number": "305-662-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 SW 87TH CT STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762264",
            "telephone_number": "305-270-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5955 Ponce De Leon Blvd",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331462423",
            "country_code": "US",
            "telephone_number": "305-662-8668 x243",
            "fax_number": "305-662-3723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDOUSANY",
        "first_name": "ABDULWAHAB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME38928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376842200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.