Active NPI
John G. Padron, M.D.
- Specialist
- North Miami Beach, FL
National Provider Identifier
1205867520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME50431
- Practice address
- 1865 NE 163Rd St
North Miami Beach, FL 33162-4805 - Phone
- (305) 948-9958
- Fax
- (305) 948-9518
- NPI assigned
- Jul 5, 2006
- Last updated
- Apr 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME50431 | FL | Primary |
| Family Medicine Physician | 207Q00000X | ME50431 | FL |
Addresses
Primary practice location
1865 NE 163Rd St
North Miami Beach, FL 33162-4805
Mailing address
1865 NE 163Rd St
North Miami Beach, FL 33162-4805
Phone (305) 948-9958
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 305-948-9518 | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME50431 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sussman & Staller MD PA | Past | Accepting new patients | |
| Melissa Medical Center Corp | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Opa Medical Group
- Specialist
- North Miami Beach, FL
- NPI 1114159118
-
- Clinic/Center
- Miami, FL
- NPI 1851378087
-
- Internal Medicine Physician
- North Miami Beach, FL
- NPI 1689733693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1205867520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1865 NE 163RD ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331624805",
"telephone_number": "305-948-9958",
"fax_number": "305-948-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1865 NE 163RD ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331624805",
"telephone_number": "305-948-9958",
"fax_number": "305-948-9518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADRON",
"first_name": "JOHN",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME50431",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME50431",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "305-948-9518",
"affiliation": "N",
"endpointDescription": "fax",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "fax",
"address_1": "1865 NE 163rd St",
"city": "North Miami Beach",
"state": "FL",
"country_code": "US",
"postal_code": "331624805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.