NPIMap

Organization Active NPI

University of Miami

Doing business as UMiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - ASC)

  • Ambulatory Surgical Clinic/Center
  • Palm Beach Gardens, FL
National Provider Identifier
1346317039
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
200706483 Issued in FL
Legal business name
UNIVERSITY OF MIAMI
Doing business as
UMiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - ASC)
Practice address
7103 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone
(561) 515-1500
Fax
(305) 243-8470
NPI assigned
Nov 29, 2006
Last updated
Dec 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Cesia A Sanchez
Title
Provider Enrollment Manager
Phone
(305) 243-6837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 200706483 FL Primary

Addresses

Primary practice location

7103 Fairway Dr
Palm Beach Gardens, FL 33418-3701

Mailing address

7103 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone (561) 515-1500

Other identifiers 1

IdentifierTypeStateIssuer
0766534-00MedicaidFL

Other names 1

  • UMiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - ASC) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200406001006 FL Part B Supplier - Clinic/Group Practice 3274795109 Receives reassigned benefits from 3,555 practitioners
This NPI is an additional NPI on the enrollment
O20200623002946 FL Part B Supplier - Ambulatory Surgical Center 3274795109 Practice locations: Palm Beach Gardens, FL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Bascom Palmer Surgery CenterCCN 10C0001481
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

7103 Fairway Dr
Palm Beach Gardens, FL 33418
Phone (305) 585-6970

Practitioners & affiliated clinicians

Practitioners 260

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 260

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1346317039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 FAIRWAY DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183701",
            "telephone_number": "561-515-1500",
            "fax_number": "305-243-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 FAIRWAY DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183701",
            "telephone_number": "561-515-1500",
            "fax_number": "305-243-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "CESIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "305-243-6837"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "200706483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0766534-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMiami Medicine - Ophthalmology (Palm Beach Bascom Palmer - ASC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.