Individual provider Active NPI

Wayne H Case, MD

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1215928916
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0019774 Issued in FL
Practice address
3410 W 84TH St
BLDG F Suite 110
Hialeah, FL 33018
Phone
(305) 558-3571
Fax
(305) 558-3682
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0019774 FL Primary

Addresses

Primary practice location

3410 W 84TH St
BLDG F Suite 110
Hialeah, FL 33018

Mailing address

3410 W 84TH St
BLDG F Suite 110
Hialeah, FL 33018
Phone (305) 558-3571

Other identifiers 1

IdentifierTypeStateIssuer
054669100MedicaidFL

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
I20040114000051 FL Practitioner - Family PracticePractitioner - General Practice 0547161549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wayne H Case MD PAGroup PAC ID 5092616094, 7 clinicians

Practice addresses (Care Compare)

17933 NW 7 St
Pembroke Pines, FL 33029-2812
Phone (954) 436-1927

3410 W 84 St
Hialeah, FL 33018-4906
Phone (305) 558-3571

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0019774FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne H Case MD PA Family Medicine CurrentSince Jan 1, 1999 Accepting new patients
Family Medical Centre Family Medicine Past Accepting new patients
Wayne H Case MD PA Family Medicine Past Accepting new patients

Locations

3470 NW 82nd Ave
Ste 118
Doral, FL 33122
Phone (305) 398-1991

3410 W 84th St
Ste 110
Hialeah, FL 33018
Phone (305) 558-3571

17933 NW 7th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 436-1927

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 2

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1215928916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 W 84TH ST",
            "address_2": "BLDG F SUITE 110",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "305-558-3571",
            "fax_number": "305-558-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 W 84TH ST",
            "address_2": "BLDG F SUITE 110",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "305-558-3571",
            "fax_number": "305-558-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "WAYNE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0019774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054669100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.