Individual provider Active NPI

Daniel Gologorsky, MD, MBA

  • Retina Specialist (Ophthalmology) Physician
  • Miami Beach, FL
National Provider Identifier
1114366200
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME135746 Issued in FL
Practice address
4308 Alton Rd Ste 610
Miami Beach, FL 33140-4559
Phone
(305) 902-3200
Fax
(305) 834-4371
NPI assigned
Jun 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X ME135746 FL Primary

Addresses

Primary practice location

4308 Alton Rd Ste 610
Miami Beach, FL 33140-4559

Mailing address

4308 Alton Rd Ste 610
Miami Beach, FL 33140-4559
Phone (305) 902-3200

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
I20190311002607 FL Practitioner - Ophthalmology 2264709120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Geisel School of Medicine at Dartmouth, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4308 Alton Rd
Suite 610
Miami Beach, FL 33140-4559
Phone (305) 902-3200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME135746FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Eye & Retina, Inc Retina Specialist CurrentSince May 15, 2018 Accepting new patients
North Broward Hospital District Retina Specialist PastSince Mar 4, 2019 Accepting new patients

Locations

4308 Alton Rd
Ste 610
Miami Beach, FL 33140
Phone (305) 423-3939

Interoperability endpoints

  • Direct secure messaging: dgologorsky37155@direct.med.miami.edu

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1114366200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 610",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404559",
            "telephone_number": "305-902-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 610",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404559",
            "telephone_number": "305-902-3200",
            "fax_number": "305-834-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLOGORSKY",
        "first_name": "DANIEL",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME135746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.