Individual provider Active NPI

Lila Shoshana Chertman, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Bay Harbor Islands, FL
National Provider Identifier
1124424015
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME124255 Issued in FL
Practice address
1111 Kane Concourse
Suite 511
Bay Harbor Islands, FL 33154
Phone
(305) 861-8450
Fax
(888) 927-8094
NPI assigned
Nov 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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 TRN-18688 FL
Internal Medicine Physician 207R00000X ME124255 FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME124255 FL Primary

Addresses

Primary practice location

1111 Kane Concourse
Suite 511
Bay Harbor Islands, FL 33154

Mailing address

1111 Kane Concourse
Suite 511
Bay Harbor Islands, FL 33154
Phone (305) 861-8450

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
I20181108002516 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 1951655018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marcos Chertman MD PAGroup PAC ID 0345316022, 2 clinicians

Practice addresses (Care Compare)

1321 NW 14TH St
Suite 304
Miami, FL 33125-1673
Phone (305) 324-5481

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN-18688FLMDInternal Medicine Physician
ME124255FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marcos Chertman MD PA Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2018 Accepting new patients

Locations

1111 Kane Concourse
Ste 511
Bay Harbor Islands, FL 33154
Phone (305) 861-8450

1321 NW 14th St
Ste 304
Miami, FL 33125
Phone (305) 324-5481

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1124424015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 KANE CONCOURSE",
            "address_2": "SUITE 511",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "33154",
            "telephone_number": "305-861-8450",
            "fax_number": "888-927-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 KANE CONCOURSE",
            "address_2": "SUITE 511",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "33154",
            "telephone_number": "305-861-8450",
            "fax_number": "888-927-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERTMAN",
        "first_name": "LILA",
        "middle_name": "SHOSHANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN-18688",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME124255",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME124255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Harbor Islands, FL

Sources for this page

Verify at the official NPI Registry.