NPIMap

Organization Active NPI

Elias a M Feanny MD PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1386949345
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME76407 Issued in FL
Legal business name
ELIAS A M FEANNY MD PA
Practice address
9275 SW 152 Street
Suite 101
Miami, FL 33157
Phone
(305) 253-8869
Fax
(305) 233-9726
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Dr. Elias Anthony Feanny, M.D.NPI 1003869918
Title
Medical Doctor
Phone
(305) 253-8869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME76407 FL Primary

Addresses

Primary practice location

9275 SW 152 Street
Suite 101
Miami, FL 33157

Mailing address

9275 SW 152ND St
Suite 101
Palmetto Bay, FL 33157-1701
Phone (305) 253-8869

Other identifiers 1

IdentifierTypeStateIssuer
250480100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110623000303 FL Part B Supplier - Clinic/Group Practice 3476731340 Receives reassigned benefits from 4 practitioners
Practice locations: Palmetto Bay, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1386949345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND ST",
            "address_2": "SUITE 101",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571701",
            "telephone_number": "305-253-8869",
            "fax_number": "305-233-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 SW 152 STREET",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33157",
            "telephone_number": "305-253-8869",
            "fax_number": "305-233-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIAS A M FEANNY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "FEANNY",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "305-253-8869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME76407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250480100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.