Organization Active NPI

Sherrie Ann Bieniek, MD PA

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1225389166
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0065810 Issued in FL
Legal business name
SHERRIE ANN BIENIEK, MD PA
Practice address
9995 SW 72ND St
Suite 208
Miami, FL 33173-4662
Phone
(305) 412-6034
Fax
(305) 412-6686
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Dr. Sherrie Ann Bieniek, MDNPI 1497786875
Title
President
Phone
(305) 412-6034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME0065810 FL Primary

Addresses

Primary practice location

9995 SW 72ND St
Suite 208
Miami, FL 33173-4662

Mailing address

9995 SW 72ND St
Suite 208
Miami, FL 33173-4662
Phone (305) 412-6034

Other identifiers 1

IdentifierTypeStateIssuer
251096100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160314000467 FL Part B Supplier - Clinic/Group Practice 0143526442 Receives reassigned benefits from 1 practitioner
Practice locations: South Miami, FL; Miami, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1225389166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9995 SW 72ND ST",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734662",
            "telephone_number": "305-412-6034",
            "fax_number": "305-412-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 SW 72ND ST",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734662",
            "telephone_number": "305-412-6034",
            "fax_number": "305-412-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRIE ANN BIENIEK, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "BIENIEK",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-412-6034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0065810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251096100",
            "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 Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.