Individual provider Active NPI

David Carisma

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1124853650
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11035066 Issued in FL
Practice address
9193 SW 72ND St Ste 200
Miami, FL 33173-3487
Phone
(305) 898-1748
NPI assigned
Sep 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11035066 FL Primary

Addresses

Primary practice location

9193 SW 72ND St Ste 200
Miami, FL 33173-3487

Mailing address

9193 SW 72ND St Ste 200
Miami, FL 33173-3487
Phone (052) 739-3773

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
I20250311002266 FL Practitioner - Nurse Practitioner 3173044799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of South Miami PAGroup PAC ID 9931000510, 12 clinicians

Practice addresses (Care Compare)

9193 Sunset Dr
Suite 200
Miami, FL 33173-3487
Phone (305) 273-9377

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11035066FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of South Miami PA CurrentSince May 1, 2025 Accepting new patients

Locations

9193 Sunset Dr
Ste 200
Miami, FL 33173
Phone (305) 273-9377

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11592/brand/1/csg/1/fhir/r4

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": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1124853650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9193 SW 72ND ST STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733487",
            "telephone_number": "052-739-3773",
            "fax_number": "305-273-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9193 SW 72ND ST STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733487",
            "telephone_number": "305-898-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARISMA",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11035066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.