Individual provider Active NPI

Brenda M. Acosta Ashby, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Doral, FL
National Provider Identifier
1366480386
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME95818 Issued in 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
Last updated
Mar 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME95818 FL Primary

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

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080402000603 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 1658458567 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc. CurrentSince Aug 1, 2021 Accepting new patients
CMB Consulting Group Corp Endocrinology, Diabetes & Metabolism CurrentSince Dec 6, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Dec 1, 2011 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Dec 1, 2011 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

3901 NW 79th Ave
Ste 222
Doral, FL 33166
Phone (305) 642-3333

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1366480386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 NW 79TH AVE STE 222",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666554",
            "telephone_number": "786-845-8989",
            "fax_number": "786-845-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NW 79TH AVE STE 222",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666554",
            "telephone_number": "786-845-8989",
            "fax_number": "786-845-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA ASHBY",
        "first_name": "BRENDA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME95818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.