NPIMap

Individual provider Active NPI

Ileana Farrada, D.O.

  • Nephrology Physician
  • North Miami Beach, FL
National Provider Identifier
1164780326
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS13048 Issued in FL
Practice address
16401 NW 2ND Ave Ste 203
North Miami Beach, FL 33169-6036
Phone
(305) 999-0009
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X OS13048 FL Primary

Addresses

Primary practice location

16401 NW 2ND Ave Ste 203
North Miami Beach, FL 33169-6036

Mailing address

16401 NW 2ND Ave Ste 203
Miami, FL 33169-6036
Phone (305) 999-0009

Other practice location 1

21110 Biscayne Blvd Ste 401
Aventura, FL 33180-1252
Phone (305) 760-2905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171025003307 FL Practitioner - Nephrology 1254657372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cliff M. Glasser, DO., PA.Group PAC ID 9931394582, 3 clinicians

Practice addresses (Care Compare)

16401 NW 2ND Ave
Suite 203
North Miami Beach, FL 33169-6036
Phone (305) 999-0009

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cliff M. Glasser, DO., PA. Nephrology CurrentSince Jul 1, 2017 Accepting new patients
Fabiola B Schlessinger MD PA CurrentSince Jul 1, 2017 Accepting new patients

Locations

1000 Park Centre Blvd
Ste 134
Miami, FL 33169
Phone (305) 651-3261

19559 NE 10th Ave
North Miami Beach, FL 33179
Phone (305) 651-3261

16401 NW 2nd Ave
Ste 203
North Miami Beach, FL 33169
Phone (305) 623-1212

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ileana.farrada.1@17638.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17638/brand/1/csg/1/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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164780326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16401 NW 2ND AVE STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696036",
            "telephone_number": "305-999-0009",
            "fax_number": "305-945-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16401 NW 2ND AVE STE 203",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696036",
            "telephone_number": "305-999-0009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21110 Biscayne Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801252",
            "country_code": "US",
            "telephone_number": "305-760-2905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRADA",
        "first_name": "ILEANA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS13048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.