Individual provider Active NPI

Victor Manuel Pina, MD

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1164403846
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0055125 Issued in FL
Practice address
7887 N Kendall Dr
Suite 101
Miami, FL 33156-7427
Phone
(305) 273-6266
Fax
(305) 273-6520
NPI assigned
Nov 9, 2005
Last updated
Aug 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0055125 FL Primary

Addresses

Primary practice location

7887 N Kendall Dr
Suite 101
Miami, FL 33156-7427

Mailing address

7887 N Kendall Dr
Suite 101
Miami, FL 33156-7427
Phone (305) 273-6266

Other identifiers 2

IdentifierTypeStateIssuer
10696OtherFLBC/BS
064772100MedicaidFL

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
I20110706000514 FL Practitioner - Gastroenterology 8729189667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Digestive Medicine PLLCGroup PAC ID 8325330822, 3 clinicians

Practice addresses (Care Compare)

7887 N Kendall Dr
Suite 101
Miami, FL 33156-7494
Phone 3052736626303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Upper gastrointestinal (GI) endoscopy for acid reflux19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0055125FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Digestive Medicine PLLC Gastroenterology CurrentSince Jun 1, 2016 Accepting new patients
Gi Nurse Practitioners of South Florida LLC Gastroenterology CurrentSince Jan 5, 2009 Accepting new patients
Gastro Anesthesia Services LLC PastSince Nov 20, 2016 Accepting new patients

Locations

7887 N Kendall Dr
Ste 101
Miami, FL 33156
Phone (305) 273-6266

Interoperability endpoints

  • Direct secure messaging: wghvpina@yourcarecommunity.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1164403846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7887 N KENDALL DR",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567427",
            "telephone_number": "305-273-6266",
            "fax_number": "305-273-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7887 N KENDALL DR",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567427",
            "telephone_number": "305-273-6266",
            "fax_number": "305-273-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINA",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0055125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "10696",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064772100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.