Brenda M. Acosta Ashby, MD
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Doral, FL
NPI 1366480386 · NPPES record last updated Mar 28, 2014
Key facts
- NPI
- 1366480386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- ME95818 (FL)
- Practice address
- 3901 NW 79TH Ave Ste 222
Doral, FL 33166-6554 - Phone
- (786) 845-8989
- Fax
- (786) 845-8615
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080402000603 | FL | Practitioner - Endocrinology |
1658458567 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenet Florida Physician Services, LLC | Current |
Accepting new patients | |
| Steward Medical Group, Inc. | Current |
Accepting new patients | |
| CMB Consulting Group Corp | Endocrinology, Diabetes & Metabolism | Current |
Accepting new patients |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Tenet Florida Physician Services LLC | Current |
Accepting new patients | |
| Stewart and Stewart a Medical Corporation | Past | Accepting new patients |
Locations
3901 NW 79th Ave
Ste 222
Doral, FL 33166
Phone (305) 593-1122
3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333
2600 SW 3rd Ave
Ste 600
Miami, FL 33129
Phone (305) 484-9727
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME95818 | FL | Yes |
Addresses
Primary practice location
3901 NW 79TH Ave Ste 222
Doral, FL 33166-6554
Mailing address
3901 NW 79TH Ave Ste 222
Doral, FL 33166-6554
Phone (786) 845-8989
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2804298-00 | Medicaid | FL |
Other providers in Doral, FL
- Achieve Mas, LLC
- Guillermo Achong
- Leah Ackerman
- Sasha Acloque
- Aco Medical Supply
- Yailin Acosta Cabrera
- Yunieisy Acosta Espinosa
- Sharlene Acosta Reyes
- Misleiny Acosta Valdes
- Arianna Acosta
All providers in Doral, FL · Endocrinology, Diabetes & Metabolism Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.