Individual provider Active NPI

Adriane Vega Pompa, M.D.

  • Dermatology Physician
  • South Miami, FL
National Provider Identifier
1376864926
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME120234 Issued in FL
Practice address
6705 SW 57TH Ave
Suite 314
South Miami, FL 33143-3622
Phone
(305) 665-6166
NPI assigned
Jun 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME120234 FL Primary

Addresses

Primary practice location

6705 SW 57TH Ave
Suite 314
South Miami, FL 33143-3622

Mailing address

6705 SW 57TH Ave
Suite 314
South Miami, FL 33143-3622
Phone (305) 665-6166

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
I20141021001662 FL Practitioner - Dermatology 9032330881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flor Mayoral-Vega MD PAGroup PAC ID 7719888494, 4 clinicians

Practice addresses (Care Compare)

6705 Red Rd
Suite 314
Coral Gables, FL 33143-3638

6705 S Red Rd
Suite 314
South Miami, FL 33143-3638
Phone (305) 665-6166

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions90
Skin biopsy58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flor Mayoral-Vega MD PA Dermatology CurrentSince Aug 15, 2014 Accepting new patients

Locations

6705 SW 57th Ave
Ste 314
South Miami, FL 33143
Phone (305) 665-6166

Interoperability endpoints

  • Direct secure messaging: apompa@directaddress.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1376864926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 SW 57TH AVE",
            "address_2": "SUITE 314",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433622",
            "telephone_number": "305-665-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 SW 57TH AVE",
            "address_2": "SUITE 314",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433622",
            "telephone_number": "305-665-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPA",
        "first_name": "ADRIANE",
        "middle_name": "VEGA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME120234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.