Active NPI
Miles Medrano, MD
- Gastroenterology Physician
- Atlantis, FL
National Provider Identifier
1366487514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME90022
- Practice address
- 5401 S Congress Ave
#211
Atlantis, FL 33462-6635 - Phone
- (561) 964-8221
- Fax
- (561) 964-7393
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME90022 | FL | Primary |
Addresses
Primary practice location
5401 S Congress Ave
#211
Atlantis, FL 33462-6635
Mailing address
5401 S Congress Ave Ste 211
Atlantis, FL 33462-6637
Phone (561) 964-8221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27089900 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of South Florida College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5401 S Congress Ave
Suite 211
Atlantis, FL 33462-6637
Phone (214) 424-2200
Hospital & facility affiliations
- Wellington Regional Medical Center
- HCA Florida JFK Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 39 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME90022 | FL | MD | Gastroenterology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Atlantis, FL
- NPI 1700382736
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlantis, FL
- NPI 1326085424
-
- General Acute Care Hospital
- Wellington, FL
- NPI 1720078702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1366487514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 S CONGRESS AVE STE 211",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626637",
"telephone_number": "561-964-8221",
"fax_number": "561-964-7393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 S CONGRESS AVE",
"address_2": "#211",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626635",
"telephone_number": "561-964-8221",
"fax_number": "561-964-7393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDRANO",
"first_name": "MILES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME90022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27089900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlantis, FL
- Melissa Mechler, ARNP
- Medical Specialists of the Palm Beaches Inc
- Medical Specialists of the Palm Beaches Inc
- Medical Specialists of the Palm Beaches Inc
- Medical Specialists of the Palm Beaches Rehab Center Inc
- Kavan V Meiner, MD
- Katherine Merry, M.D.
- Richard Franklin Merzer, MD
- Michael L Weinberger, MD PA
- Jay A Midwall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.