NPIMap

Individual provider Active NPI

Jonathan P. Meizoso, MD, MSPH

  • Trauma Surgery Physician
  • Miami, FL
National Provider Identifier
1306112586
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
ME149575 Issued in FL
Practice address
1800 NW 10TH Ave
Miami, FL 33136-1018
Phone
(305) 585-1178
NPI assigned
Apr 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DR.0061992 CO
Surgery Physician 208600000X ME149575 FL
Surgical Critical Care Physician 2086S0102X DR.0061992 CO
Surgical Critical Care Physician 2086S0102X ME149575 FL
Trauma Surgery Physician 2086S0127X DR.0061992 CO
Trauma Surgery Physician 2086S0127X ME149575 FL Primary

Addresses

Primary practice location

1800 NW 10TH Ave
Miami, FL 33136-1018

Mailing address

1800 NW 10TH Avenue
Suite T-215 (D-40)
Miami, FL 33136

Other practice location 1

University of Colorado
12631 E. 17th Avenue, MS C-291
Aurora, CO 80045
Phone (303) 724-9251

Other practice location 2

1611 NW 12th Ave
East Tower, Suite 2169
Miami, FL 33136-1005
Phone (305) 585-1280

Other practice location 3

777 Bannock St
Denver, CO 80204-4597
Phone (303) 602-1830

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
I20210827000759 FL Practitioner - General Surgery 5092049106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Miami, LM Miller School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

900 NW 17TH St
Ableh/Bpei
Miami, FL 33136-1119
Phone (305) 243-6857

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0061992COMDSurgical Critical Care Physician
ME149575FLMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Aug 1, 2021 Accepting new patients
University of Miami Current Accepting new patients
University of Miami Surgery CurrentSince Aug 1, 2021 Accepting new patients
University of Miami PastSince May 9, 2021 Accepting new patients
University of Miami Past Accepting new patients

Locations

1800 NW 10th Ave
Miami, FL 33136
Phone (305) 243-3838

1400 NW 12th Ave
Fl 5
Miami, FL 33136

1611 NW 12th Ave
Ste 2169
Miami, FL 33136
Phone (305) 585-1280

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

900 NW 17th St
Miami, FL 33136
Phone (305) 243-6605

1800 NW 10th Ave
Ste T215
Miami, FL 33136
Phone (305) 585-1293

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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 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": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1306112586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NW 10TH AVENUE",
            "address_2": "SUITE T-215 (D-40)",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NW 10TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361018",
            "telephone_number": "305-585-1178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University of Colorado",
            "address_2": "12631 E. 17th Avenue, MS C-291",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80045",
            "country_code": "US",
            "telephone_number": "303-724-9251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave",
            "address_2": "East Tower, Suite 2169",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-1280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Bannock St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044597",
            "country_code": "US",
            "telephone_number": "303-602-1830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEIZOSO",
        "first_name": "JONATHAN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "MD, MSPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-01",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0061992",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME149575",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CO",
            "license": "DR.0061992",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME149575",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CO",
            "license": "DR.0061992",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME149575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.