Individual provider Active NPI

Monica G. Daniel, MD

  • Obstetrics & Gynecology Physician
  • Pembroke Pines, FL
National Provider Identifier
1376522482
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME78811 Issued in FL
Practice address
17759 SW 2ND St
Pembroke Pines, FL 33029-3924
Phone
(954) 399-8875
Fax
(954) 505-4137
NPI assigned
Jan 17, 2006
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME78811 FL Primary

Addresses

Primary practice location

17759 SW 2ND St
Pembroke Pines, FL 33029-3924

Mailing address

17759 SW 2ND St
Pembroke Pines, FL 33029-3924
Phone (954) 399-8875

Other identifiers 1

IdentifierTypeStateIssuer
259462500MedicaidFL

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
I20040428001347 FL Practitioner - Obstetrics/Gynecology 0941297279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

17900 NW 5TH St
204 Adult and Pediatric Dermatology
Pembroke Pines, FL 33029-2809
Phone (954) 436-2200

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Aug 15, 2006 Accepting new patients
All Womens Healthcare of South Florida Inc Obstetrics & Gynecology Past Accepting new patients
Adrian Delboca, MD PA Obstetrics & Gynecology Past Accepting new patients
Kidz Medical Services, Inc Past Accepting new patients
All Womens Healthcare of Southern Florida Inc Obstetrics & Gynecology Past Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

1951 SW 172nd Ave
Ste 312
Miramar, FL 33029
Phone (954) 432-3224

17759 SW 2nd St
Pembroke Pines, FL 33029
Phone (954) 399-8875

17901 NW 5th St
Ste 202
Pembroke Pines, FL 33029
Phone (954) 442-8722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEHIAD/Endpoint/BEHIAD

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1376522482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17759 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "954-399-8875",
            "fax_number": "954-505-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17759 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "954-399-8875",
            "fax_number": "954-505-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "MONICA",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME78811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259462500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.