Active NPI
Edward J Feller, M.D.
- Gastroenterology Physician
- Miami, FL
National Provider Identifier
1396878146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME19441
- 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, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91479 | Other | FL | BCBS |
| 052519700 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME19441 | FL | MD | Gastroenterology Physician |
| 19441 | FL | MD | Music Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami Gastroenterology Consultants, PA | Gastroenterology | Past | Accepting new patients |
Interoperability endpoints
- edwardfeller@directaddress.net
- 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.
-
- Gastroenterology Physician
- Miami, FL
- NPI 1548228091
-
- Gastroenterology Physician
- Miami, FL
- NPI 1720160864
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.