NPIMap

Organization Active NPI

Medisun 62 Medical Center LLC

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1255834594
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MEDISUN 62 MEDICAL CENTER LLC
Practice address
180 NW 62ND St
Miami, FL 33150-4543
Phone
(786) 360-5625
NPI assigned
Mar 13, 2018
Last updated
Mar 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Mr. Alexis Schloeter
Title
Manager, Member
Phone
(786) 350-5583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

180 NW 62ND St
Miami, FL 33150-4543

Mailing address

180 NW 62ND St
Miami, FL 33150-4543
Phone (786) 360-5625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180906002659 FL Part B Supplier - Clinic/Group Practice 7214287572 Receives reassigned benefits from 8 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1255834594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504543",
            "telephone_number": "786-360-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504543",
            "telephone_number": "786-360-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISUN 62 MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "SCHLOETER",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "MANAGER, MEMBER",
        "authorized_official_telephone_number": "786-350-5583",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 13, 2018; 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.