NPIMap

Organization Active NPI

Miami Kidney Group PLLC

  • Nephrology Physician
  • South Miami, FL
National Provider Identifier
1396894952
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MIAMI KIDNEY GROUP PLLC
Practice address
7900 SW 57TH Ave
#21
South Miami, FL 33143-5522
Phone
(305) 662-3984
Fax
(305) 661-1129
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

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

Authorized official

Name
Dr. Alberto Esquenazi, M.D.NPI 1649239930
Title
Partner
Phone
(305) 662-3984

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
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

7900 SW 57TH Ave
#21
South Miami, FL 33143-5522

Mailing address

7900 SW 57TH Ave
#21
South Miami, FL 33143-5522
Phone (305) 662-3984

Other identifiers 1

IdentifierTypeStateIssuer
374286500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080111000397 FL Part B Supplier - Clinic/Group Practice 4385725746 Receives reassigned benefits from 16 practitioners
Practice locations: Cutler Bay, FL; Homestead, FL; Miami, FL; South Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0281584Miami Kidney Group7900 SW 57TH Ave Suite 21, South Miami, FL 33143Provider-performed microscopyMay 31, 2028

National Provider Directory

National Provider Directory

Locations

10850 SW 184th St
Ofc
Cutler Bay, FL 33157
Phone (305) 662-3984

7900 SW 57th Ave
South Miami, FL 33143

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24546/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723852800000",
    "number": "1396894952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 SW 57TH AVE",
            "address_2": "#21",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435522",
            "telephone_number": "305-662-3984",
            "fax_number": "305-661-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 SW 57TH AVE",
            "address_2": "#21",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435522",
            "telephone_number": "305-662-3984",
            "fax_number": "305-661-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI KIDNEY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A",
        "authorized_official_last_name": "ESQUENAZI",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "305-662-3984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374286500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.