NPIMap

Organization Active NPI

South Miami Inpatient Physicians

  • Internal Medicine Physician
  • South Miami, FL
National Provider Identifier
1346313194
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTH MIAMI INPATIENT PHYSICIANS
Practice address
6200 SW 73Rd St
Box 69
South Miami, FL 33143-4679
Phone
(786) 662-5465
Fax
(786) 662-5334
NPI assigned
Nov 16, 2006
Last updated
Feb 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Ghassan Haddad, MDNPI 1780754358
Title
Director
Phone
(786) 662-5465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

6200 SW 73Rd St
Box 69
South Miami, FL 33143-4679

Mailing address

3441 3Rd Ave SW
Naples, FL 34117-3019
Phone (305) 231-1204

Other identifiers 1

IdentifierTypeStateIssuer
271302100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041213000615 FL Part B Supplier - Clinic/Group Practice 2567429483 Receives reassigned benefits from 93 practitioners
Practice locations: Homestead, FL; Doral, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

6200 SW 73rd St
#69
South Miami, FL 33143
Phone (786) 662-4000

Practitioners & affiliated clinicians

Practitioners 114

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 114

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1346313194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 3RD AVE SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341173019",
            "telephone_number": "305-231-1204",
            "fax_number": "305-901-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 73RD ST",
            "address_2": "BOX 69",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434679",
            "telephone_number": "786-662-5465",
            "fax_number": "786-662-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MIAMI INPATIENT PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-662-5465",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271302100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.