Anais Pedoussaut, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9114319 Issued in FL

Practice address

3663 S Miami Ave
Miami, FL 33133-4253

Phone

(305) 854-4400

NPI assigned

Jul 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Intellirad Imaging, LLC

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1073859484
  Medicare reassignment
• Premium Practice Solutions, LLC

  • Gastroenterology Physician
  • Lighthouse Point, FL
  • NPI 1164711214
  NPD
• Lighthouse Foot & Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Deerfield Beach, FL
  • NPI 1508056326
  NPD (past)

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1326618299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 W TROON CIR",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334253",
            "telephone_number": "305-854-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5340 N Federal Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lighthouse Point",
            "state": "FL",
            "postal_code": "330647058",
            "country_code": "US",
            "telephone_number": "954-428-2480",
            "fax_number": "954-428-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDOUSSAUT",
        "first_name": "ANAIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedikidz of Florida
• Pedikidz of Florida Corp
• Pedikidz Ppec
• Pediride, LLC
• Pedo Ortho Dental Specialists LLC
• Maryse Anne Pedoussaut, M.D
• Alexandra Jade Pedowitz, MD, MPH
• Milaidys Pedraja, DMD
• Victoria Maria Pedraja
• Beatriz Pedrayes Gomez

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.