Individual provider Active NPI

Karla Pineda Gonzalez

  • Acute Care Nurse Practitioner
  • Miami Beach, FL
National Provider Identifier
1124717533
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11027904 Issued in FL
Practice address
4302 Alton Rd Ste 540
Miami Beach, FL 33140-2842
Phone
(305) 674-2499
NPI assigned
May 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 9490503 FL
Acute Care Nurse Practitioner 363LA2100X 11027904 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 540
Miami Beach, FL 33140-2842

Mailing address

4189 E 9TH LN
Hialeah, FL 33013-2407

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328003915 FL Practitioner - Nurse Practitioner 5193163996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Sinai Medical Center Urology LLCGroup PAC ID 2466513288, 26 clinicians

Practice addresses (Care Compare)

6050 W 20TH Ave
Hialeah, FL 33016-2605
Phone (786) 584-5555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9490503FLMDCritical Care Medicine Registered Nurse
11027904FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Medical Center Urology, LLC CurrentSince Feb 25, 2024 Accepting new patients

Locations

6050 W 20th Ave
#3
Hialeah, FL 33016
Phone (305) 674-2906

6050 W 20th Ave
Hialeah, FL 33016
Phone (786) 584-5000

4302 Alton Rd
Ste 540
Miami Beach, FL 33140
Phone (305) 674-2151

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

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.

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": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1124717533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4189 E 9TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 540",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402842",
            "telephone_number": "305-674-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA GONZALEZ",
        "first_name": "KARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "9490503",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11027904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.