Individual provider Active NPI

Saied Eftekhari, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Sunny Isles Beach, FL
National Provider Identifier
1346259678
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
ME57246 Issued in FL
Practice address
19111 Collins Ave Apt 2605
Sunny Isles Beach, FL 33160-2384
Phone
(217) 971-0451
NPI assigned
Aug 5, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X IL
Neonatal-Perinatal Medicine Physician 2080N0001X ME57246 FL Primary
Neonatal-Perinatal Medicine Physician 2080N0001X H8628 TX

Addresses

Primary practice location

19111 Collins Ave Apt 2605
Sunny Isles Beach, FL 33160-2384

Mailing address

19111 Collins Ave Apt 2605
Sunny Isles Beach, FL 33160-2384
Phone (217) 971-0451

Other identifiers 4

IdentifierTypeStateIssuer
194065OtherILHEALTHLINK
ME57246OtherFLFL STATE LICENSE
H8628OtherTXTX STATE LICENSE
0005832074OtherILBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME57246FLMDNeonatal-Perinatal Medicine Physician
036062516ILMDNeonatal-Perinatal Medicine Physician
H8628TXMDNeonatal-Perinatal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346259678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 COLLINS AVE APT 2605",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602384",
            "telephone_number": "217-971-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19111 COLLINS AVE APT 2605",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602384",
            "telephone_number": "217-971-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFTEKHARI",
        "first_name": "SAIED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "FL",
            "license": "ME57246",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "H8628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "194065",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE LICENSE",
            "identifier": "ME57246",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE LICENSE",
            "identifier": "H8628",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0005832074",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.