Individual provider Active NPI

Jose R Nabut, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1225088511
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME44546 Issued in FL
Practice address
606 W Flagler St
Miami, FL 33130-1202
Phone
(305) 545-9292
Fax
(305) 545-0579
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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 ME44546 FL Primary

Addresses

Primary practice location

606 W Flagler St
Miami, FL 33130-1202

Mailing address

2801 W 12TH Ave
Hialeah, FL 33010-1017
Phone (305) 805-9500

Other identifiers 1

IdentifierTypeStateIssuer
ME44546OtherFLMEDICAL LICENSE

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
I20121018000563 FL Practitioner - Family PracticePractitioner - Emergency Medicine 3274783709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oracle Health Systems Inc 3 clinicians

Practice addresses (Care Compare)

7031 SW 62 Ave
South Miami, FL 33143-4701
Phone (305) 284-7500

Hospital & facility affiliations

  • Larkin Community Hospital Hospital, South Miami, FL, CCN 100181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oracle Health Systems Inc CurrentSince Nov 18, 2002 Accepting new patients
Radiology Associates of South Florida LLC Past Accepting new patients

Locations

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Organizations & group practices 2

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1225088511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101017",
            "telephone_number": "305-805-9500",
            "fax_number": "305-805-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301202",
            "telephone_number": "305-545-9292",
            "fax_number": "305-545-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABUT",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME44546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME44546",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.