NPIMap

Individual provider Active NPI

Marwan Iskandarani, M.D.

  • Gastroenterology Physician
  • North Miami Beach, FL
National Provider Identifier
1255386470
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0045030 Issued in FL
Practice address
65 NW 168TH St
North Miami Beach, FL 33169-6027
Phone
(305) 653-9174
Fax
(305) 653-7445
NPI assigned
May 24, 2006
Last updated
Dec 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0045030 FL Primary

Addresses

Primary practice location

65 NW 168TH St
North Miami Beach, FL 33169-6027

Mailing address

65 NW 168TH St
North Miami Beach, FL 33169-6027
Phone (305) 653-9174

Other identifiers 1

IdentifierTypeStateIssuer
045322600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080218000623 FL Practitioner - Gastroenterology 7719060433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Venture Gastroenterology LLCGroup PAC ID 0345493672, 2 clinicians

Practice addresses (Care Compare)

16855 NE 2 Ave
Suite 300
North Miami Beach, FL 33162-1744
Phone (305) 654-4488

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29
Upper gastrointestinal (GI) endoscopy for acid reflux19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0045030FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marwan Iskandarani MD PA Gastroenterology CurrentSince May 30, 2007 Accepting new patients
Venture Gastroenterology LLC Gastroenterology CurrentSince Sep 4, 2012 Accepting new patients
Venture Gastroenterology LLC Gastroenterology CurrentSince Sep 4, 2012 Accepting new patients

Locations

1740 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (305) 933-3170

1190 NW 95th St
Ste 412
Miami, FL 33150
Phone (305) 534-4404

16800 NW 2nd Ave
Ste 202
North Miami Beach, FL 33169
Phone (305) 653-6365

16853 NE 2nd Ave
Ste 400
North Miami Beach, FL 33162
Phone (305) 652-2999

16855 NE 2nd Ave
Ste 300
North Miami Beach, FL 33162
Phone (305) 534-4404

65 NW 168th St
North Miami Beach, FL 33169
Phone (305) 653-6365

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3117/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marwan.iskandarani.1@3117.direct.athenahealth.com

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1255386470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NW 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696027",
            "telephone_number": "305-653-9174",
            "fax_number": "305-653-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NW 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696027",
            "telephone_number": "305-653-9174",
            "fax_number": "305-653-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDARANI",
        "first_name": "MARWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0045030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045322600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.