NPIMap

Individual provider Active NPI

Tanaz Minoo Vaghaiwalla, MD, MS

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1164867354
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
167983 Issued in FL
Practice address
1120 NW 14TH Street
CRB 4TH Floor (M-875)
Miami, FL 33136
Phone
(305) 243-4444
Fax
(305) 243-4221
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 167983 FL Primary

Addresses

Primary practice location

1120 NW 14TH Street
CRB 4TH Floor (M-875)
Miami, FL 33136

Mailing address

1120 NW 14TH Street
CRB 4TH Floor (M-875)
Miami, FL 33136
Phone (305) 243-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210126002212 TN Practitioner - General Surgery 6204240609 Reassigns benefits to 1 organization
I20240516000448 FL Practitioner - General Surgery 6204240609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1400 NW 12TH Ave
Miami, FL 33136-1003
Phone (305) 689-7272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
167983FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Surgery CurrentSince Apr 19, 2024 Accepting new patients
University Health System Inc CurrentSince Jul 1, 2022 Accepting new patients
University Health System Inc CurrentSince Jul 1, 2022 Accepting new patients
University Health System, Inc Current Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Apr 19, 2024 Accepting new patients
University of Miami Past Accepting new patients

Locations

5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 585-1052

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1475 NW 12th Ave
Fl 1
Miami, FL 33136
Phone (305) 243-6605

1120 NW 14th St
Fl 4
Miami, FL 33136
Phone (305) 243-4500

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1611 NW 12th Ave
Ste 600B
Miami, FL 33136
Phone (305) 355-1303

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

1924 Alcoa Hwy
#U11
Knoxville, TN 37920
Phone (865) 305-9230

1934 Alcoa Hwy
Ste D285
Knoxville, TN 37920
Phone (865) 305-5812

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

1934 Alcoa Hwy
Ste 285
Knoxville, TN 37920
Phone (865) 305-9620

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 7

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1164867354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NW 14TH STREET",
            "address_2": "CRB 4TH FLOOR (M-875)",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-243-4444",
            "fax_number": "305-243-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 NW 14TH STREET",
            "address_2": "CRB 4TH FLOOR (M-875)",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-243-4444",
            "fax_number": "305-243-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGHAIWALLA",
        "first_name": "TANAZ",
        "middle_name": "MINOO",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "167983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.