Individual provider Active NPI

Sophia Koessel, MD

  • Anesthesiology Physician
  • Coral Gables, FL
National Provider Identifier
1164840807
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME152259 Issued in FL
Practice address
5000 University Dr
Coral Gables, FL 33146-2008
Phone
(305) 448-9018
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD467145 PA
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X ME152259 FL Primary

Addresses

Primary practice location

5000 University Dr
Coral Gables, FL 33146-2008

Mailing address

7600 S Red Rd Ste 229
South Miami, FL 33143-5408

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
I20210816004068 FL Practitioner - Anesthesiology 8527304211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Columbia University College of Physicians and Surgeons, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Anesthesia Services LLCGroup PAC ID 1355651837, 168 clinicians

Practice addresses (Care Compare)

266 NW Peacock Blvd
Suite 205
Port St Lucie, FL 34986-2271
Phone (772) 446-4883

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Anesthesia Services LLC Anesthesiology CurrentSince Mar 28, 2023 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Mar 16, 2023 Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

16401 NW 2nd Ave
Ste 101
North Miami Beach, FL 33169
Phone (305) 948-5333

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

266 NW Peacock Blvd
Ste 205
Port St Lucie, FL 34986
Phone (772) 446-4833

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

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.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1164840807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 S RED RD STE 229",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 UNIVERSITY DR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462008",
            "telephone_number": "305-448-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESSEL",
        "first_name": "SOPHIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD467145",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME152259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.