NPIMap

Individual provider Active NPI

Alfredo Sanchez-Fortis, M.D.

  • Specialist
  • Miami Shores, FL
National Provider Identifier
1194759928
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME64654 Issued in FL
Practice address
9999 NE 2ND Ave
Suite 119
Miami Shores, FL 33138-2352
Phone
(305) 756-4400
Fax
(305) 756-4484
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME64654 FL Primary

Addresses

Primary practice location

9999 NE 2ND Ave
Suite 119
Miami Shores, FL 33138-2352

Mailing address

9999 NE 2ND Ave
Suite 119
Miami Shores, FL 33138-2352
Phone (305) 756-4400

Other identifiers 3

IdentifierTypeStateIssuer
ME64654OtherFLMEDICAL LICENSE
25435OtherFLBCBS PROVIDER
375466900MedicaidFL

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
I20080109000163 FL Practitioner - Nephrology 0840101853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11440 NW 7TH Ave
Miami, FL 33168-2208
Phone (305) 756-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME64654FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alfredo Sanchez Fortis M D P a Specialist CurrentSince Dec 1, 2007 Accepting new patients
South Florida Kidney Associates PA Specialist Past Accepting new patients
Fresenius Medical Care Miami Shores, LLC PastSince Mar 3, 2016 Accepting new patients

Locations

11440 NW 7th Ave
Miami, FL 33168
Phone (305) 756-4400

9999 NE 2nd Ave
Ste 119
Miami Shores, FL 33138
Phone (305) 756-4400

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19175/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alfredo.sanchez-fortis@direct.davitaphysiciansolutions.com

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 and National Provider Directory roles.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1194759928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 NE 2ND AVE",
            "address_2": "SUITE 119",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382352",
            "telephone_number": "305-756-4400",
            "fax_number": "305-756-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 NE 2ND AVE",
            "address_2": "SUITE 119",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382352",
            "telephone_number": "305-756-4400",
            "fax_number": "305-756-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ-FORTIS",
        "first_name": "ALFREDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME64654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME64654",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "25435",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375466900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

Verify at the official NPI Registry.