Individual provider Active NPI

Edward J Feller, M.D.

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1396878146
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME19441 Issued in FL
Practice address
8353 SW 124TH St
Ste 203
Miami, FL 33156-5851
Phone
(305) 259-8720
Fax
(305) 259-8725
NPI assigned
Mar 13, 2007
Last updated
Feb 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME19441 FL Primary

Addresses

Primary practice location

8353 SW 124TH St
Ste 203
Miami, FL 33156-5851

Mailing address

8353 SW 124TH St
Ste 203
Miami, FL 33156-5851
Phone (305) 259-8720

Other identifiers 2

IdentifierTypeStateIssuer
91479OtherFLBCBS
052519700MedicaidFL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME19441FLMDGastroenterology Physician
19441FLMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Gastroenterology Consultants, PA Gastroenterology PastSince Dec 12, 1996 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: edwardfeller@directaddress.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFFJBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1396878146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8353 SW 124TH ST",
            "address_2": "STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565851",
            "telephone_number": "305-259-8720",
            "fax_number": "305-259-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8353 SW 124TH ST",
            "address_2": "STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565851",
            "telephone_number": "305-259-8720",
            "fax_number": "305-259-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLER",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME19441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "91479",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052519700",
            "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 Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.