Individual provider Active NPI

Michael Frederick Aviles

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1376054098
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9431964 Issued in FL
Practice address
1501 NW 36TH St
Miami, FL 33142-5559
Phone
(786) 378-8200
NPI assigned
Oct 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9431964 FL Primary

Addresses

Primary practice location

1501 NW 36TH St
Miami, FL 33142-5559

Mailing address

9801 SW 148TH Ave
Miami, FL 33196-1643
Phone (786) 319-7889

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180424001347 FL Practitioner - Nurse Practitioner 4486754306 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9431964FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Critical Care Services LLC CurrentSince Jan 1, 2021 Accepting new patients
Kendall Home Health Agency PastSince Apr 30, 2003 Accepting new patients

Locations

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8370 W Flagler St
Ste 226
Miami, FL 33144
Phone (305) 917-5414

Interoperability endpoints

  • Direct secure messaging: michael.aviles.1@28809.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1376054098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 SW 148TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961643",
            "telephone_number": "786-319-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NW 36TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425559",
            "telephone_number": "786-378-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "MICHAEL",
        "middle_name": "FREDERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9431964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.