Active NPI
Bertha M. Olazabal, M.D.
- Internal Medicine Physician
- Hialeah, FL
National Provider Identifier
1275635765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME53971
- Practice address
- 1435 W 49TH PL
Suite 301
Hialeah, FL 33012-3197 - Phone
- (305) 557-2885
- Fax
- (305) 557-2604
- NPI assigned
- Sep 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME53971 | FL | Primary |
Addresses
Primary practice location
1435 W 49TH PL
Suite 301
Hialeah, FL 33012-3197
Mailing address
1435 W 49TH PL
Suite 301
Hialeah, FL 33012-3197
Phone (305) 557-2885
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063680100 | Medicaid | FL | |
| 07949 | Other | FL | BLUE CROSS / BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120214000025 | FL | Practitioner - Internal Medicine | 1759548118 | Practice locations: Miami Lakes, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Miami, LM Miller School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5803 NW 151St St
Suite 107
Miami Lakes, FL 33014-2473
Phone (305) 557-2885
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEFJBA/Endpoint/GEFJBA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275635765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 W 49TH PL",
"address_2": "SUITE 301",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123197",
"telephone_number": "305-557-2885",
"fax_number": "305-557-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 W 49TH PL",
"address_2": "SUITE 301",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123197",
"telephone_number": "305-557-2885",
"fax_number": "305-557-2604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLAZABAL",
"first_name": "BERTHA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME53971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063680100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "07949",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.