Individual provider Active NPI

Adiel Smith, MD

  • Retina Specialist (Ophthalmology) Physician
  • Aventura, FL
National Provider Identifier
1255568051
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME122256 Issued in FL
Practice address
20900 NE 30TH Ave Ste 207
Aventura, FL 33180-2162
Phone
(786) 590-1777
Fax
(786) 590-1888
NPI assigned
Jun 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME122256 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X ME122256 FL Primary

Addresses

Primary practice location

20900 NE 30TH Ave Ste 207
Aventura, FL 33180-2162

Mailing address

20900 NE 30TH Ave Ste 207
Aventura, FL 33180-2162
Phone (786) 590-1777

Other identifiers 1

IdentifierTypeStateIssuer
MT195576OtherPAPENNSYLVANIA LISCENCE

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
I20151123000852 FL Practitioner - Ophthalmology 0244478907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Retina Institute PLLCGroup PAC ID 7810232477, 2 clinicians

Practice addresses (Care Compare)

1385 Coral Way
FL 3
Miami, FL 33145-2941
Phone (305) 854-3307

6333 N Federal Hwy
Fort Lauderdale, FL 33308-1907
Phone (954) 928-3250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Retina Institute, PLLC Retina Specialist CurrentSince Jul 9, 2018 Accepting new patients
Rafael M Hernandez MD PA PastSince Jan 13, 2008 Accepting new patients

Locations

6333 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 861-0760

1385 Coral Way
Fl 3
Miami, FL 33145
Phone (305) 854-3301

21342 W Dixie Hwy
Miami, FL 33180
Phone (754) 707-1330

20900 NE 30th Ave
Ste 207
Miami, FL 33180
Phone (305) 936-0474

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1255568051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20900 NE 30TH AVE STE 207",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802162",
            "telephone_number": "786-590-1777",
            "fax_number": "786-590-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20900 NE 30TH AVE STE 207",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802162",
            "telephone_number": "786-590-1777",
            "fax_number": "786-590-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ADIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME122256",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME122256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA LISCENCE",
            "identifier": "MT195576",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.