Active NPI
Myron Tanenbaum, M.D.
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 41105
- Practice address
- 7765 SW 87TH Ave
Suite 210
Miami, FL 33173-2596 - Phone
- (305) 273-5353
- Fax
- (305) 273-0496
- NPI assigned
- Apr 10, 2006
- Last updated
- May 2, 2016
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0041105 | FL | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 41105 | FL | Primary |
Addresses
Primary practice location
7765 SW 87TH Ave
Suite 210
Miami, FL 33173-2596
Mailing address
7765 SW 87TH Ave
Suite 210
Miami, FL 33173-2596
Phone (305) 273-5353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0489972-00 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Washington University School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7765 SW 87 Ave
Suite 210
Miami, FL 33173-2586
Phone (305) 273-5353
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0041105 | FL | MD | Ophthalmology Physician |
| 41105 | FL | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myron Tanenbaum MD PA | Ophthalmology | Current | Accepting new patients |
Locations
7765 SW 87th Ave
Ste 210
Miami, FL 33173
Phone (305) 273-5353
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Miami, FL
- NPI 1942614771
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Hospital
- General Acute Care Hospital
- Miami, FL
- NPI 1528042884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1225091473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7765 SW 87TH AVE",
"address_2": "SUITE 210",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732596",
"telephone_number": "305-273-5353",
"fax_number": "305-273-0496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7765 SW 87TH AVE",
"address_2": "SUITE 210",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732596",
"telephone_number": "305-273-5353",
"fax_number": "305-273-0496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANENBAUM",
"first_name": "MYRON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "0041105",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "FL",
"license": "41105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0489972-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.