Active NPI
Malika S Oglesby, M.D.
- Pediatrics Physician
- Miami Lakes, FL
National Provider Identifier
1386931491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME109828
- Practice address
- 15507 NW 67TH Ave
Miami Lakes, FL 33014-2108 - Phone
- (305) 821-8611
- Fax
- (305) 827-1753
- NPI assigned
- Jul 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME109828 | FL | Primary |
Addresses
Primary practice location
15507 NW 67TH Ave
Miami Lakes, FL 33014-2108
Mailing address
900 S Pine Island Rd
Suite 800
Plantation, FL 33324-3920
Phone (305) 532-3378
Other practice location 1
15507-15 NW 67th Avenue
Miami, FL 33014
Phone (305) 821-8611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003991700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME109828 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzman, Tanis, Pittell, Levin and Jacobson | Pediatrics | Past | Accepting new patients |
| Community Health of South Florida, Inc. | Past | Accepting new patients |
Interoperability endpoints
- moglesby@pa.trimed.direct-ci.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Naranja, FL
- NPI 1023271855
-
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1386931491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S PINE ISLAND RD",
"address_2": "SUITE 800",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243920",
"telephone_number": "305-532-3378",
"fax_number": "305-531-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15507 NW 67TH AVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142108",
"telephone_number": "305-821-8611",
"fax_number": "305-827-1753"
}
],
"practiceLocations": [
{
"address_1": "15507-15 NW 67th Avenue",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "33014",
"country_code": "US",
"telephone_number": "305-821-8611",
"fax_number": "305-827-1753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OGLESBY",
"first_name": "MALIKA",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME109828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003991700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.