Organization Active NPI

Bay Surgical Group LLC

  • Vascular Surgery Physician
  • Miami, FL
National Provider Identifier
1144553157
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME70014 Issued in FL
Legal business name
BAY SURGICAL GROUP LLC
Practice address
3181 Coral Way Ste 301
Miami, FL 33145-3249
Phone
(305) 856-1002
Fax
(305) 856-0199
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Juan C Fleites
Title
Medical Doctor
Phone
(305) 856-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X ME70014 FL Primary

Addresses

Primary practice location

3181 Coral Way Ste 301
Miami, FL 33145-3249

Mailing address

3661 S Miami Ave
Suite 708
Miami, FL 33133-4236
Phone (305) 856-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100311000779 FL Part B Supplier - Clinic/Group Practice 7214062520 Receives reassigned benefits from 6 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Bay Surgical Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3181 Coral Way
Ste 400
Miami, FL 33145

3181 Coral Way
Fl 4
Miami, FL 33145
Phone (305) 445-7200

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1144553157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "SUITE 708",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-856-1002",
            "fax_number": "305-856-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 CORAL WAY STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453249",
            "telephone_number": "305-856-1002",
            "fax_number": "305-856-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY SURGICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "FLEITES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "305-856-1002"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME70014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.