Individual provider Active NPI

Sara H Acevedo, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1265457220
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
90669 Issued in FL
Practice address
11333 W Flagler St
Miami, FL 33174-1148
Phone
(305) 553-5003
Fax
(305) 553-6156
NPI assigned
Jul 12, 2006
Last updated
Sep 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 90669 FL Primary

Addresses

Primary practice location

11333 W Flagler St
Miami, FL 33174-1148

Mailing address

16023 SW 43Rd St
Miami, FL 33185-3833
Phone (305) 553-5003

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
I20040909000939 FL Practitioner - General Practice 2567438575 Reassigns benefits to 1 organization
Practice locations: Miami, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90669FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jose M Bermudez MD PA Family Medicine CurrentSince Sep 29, 2006 Accepting new patients

Locations

11333 W Flagler St
Miami, FL 33174
Phone (305) 553-5003

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1265457220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16023 SW 43RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331853833",
            "telephone_number": "305-553-5003",
            "fax_number": "305-553-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331741148",
            "telephone_number": "305-553-5003",
            "fax_number": "305-553-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "SARA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "90669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.