Individual provider Active NPI

Sergio X Amador, NP-C

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1164902722
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F08180310 Issued in FL
Practice address
10730 SW 139TH Ave
Miami, FL 33186-3173
Phone
(305) 606-2003
NPI assigned
Aug 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F08180310 FL Primary

Addresses

Primary practice location

10730 SW 139TH Ave
Miami, FL 33186-3173

Mailing address

10730 SW 139TH Ave
Miami, FL 33186-3173
Phone (305) 606-2003

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200921000046 FL Practitioner - Nurse Practitioner 7113345349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intellirad Imaging LLCGroup PAC ID 9739333790, 60 clinicians

Practice addresses (Care Compare)

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.25
Improvement activities
40
Cost
82.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F08180310FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intellirad Imaging, LLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

3476 S University Dr
Davie, FL 33328
Phone (954) 452-2107

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

21110 Biscayne Blvd
Ste 201
Miami, FL 33180
Phone (305) 653-5155

11760 SW 40th St
Ste 703
Miami, FL 33175

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

Organizations & group practices 1

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1164902722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 SW 139TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863173",
            "telephone_number": "305-606-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 SW 139TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863173",
            "telephone_number": "305-606-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADOR",
        "first_name": "SERGIO",
        "middle_name": "X",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "F08180310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.