Individual provider Active NPI

Luciano Fiszer, MD

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1407024169
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME128559 Issued in FL
Practice address
730 NW 107TH Ave Ste 210
Miami, FL 33172-3104
Phone
(786) 310-2283
Fax
(786) 384-7277
NPI assigned
Feb 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME128559 FL Primary

Addresses

Primary practice location

730 NW 107TH Ave Ste 210
Miami, FL 33172-3104

Mailing address

5480 SW 178TH Ave
Southwest Ranches, FL 33331-2356
Phone (917) 981-5741

Other identifiers 1

IdentifierTypeStateIssuer
018413000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161014000398 FL Practitioner - General Surgery 5496889883 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District Surgery CurrentSince Sep 1, 2016 Accepting new patients
South Broward Hospital District CurrentSince Sep 1, 2016 Accepting new patients
Miami Minimally Invasive Reflux and Bariatric Surgical Specialists Surgery CurrentSince Mar 11, 2025 Accepting new patients

Locations

20801 Biscayne Blvd
Ste 203
Aventura, FL 33180
Phone (305) 682-2580

730 NW 107th Ave
Ste 210
Miami, FL 33172
Phone (305) 702-0336

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

601 N Flamingo Rd
Ste 409
Pembroke Pines, FL 33028
Phone (954) 265-4664

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1407024169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 SW 178TH AVE",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333312356",
            "telephone_number": "917-981-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 NW 107TH AVE STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723104",
            "telephone_number": "786-310-2283",
            "fax_number": "786-384-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISZER",
        "first_name": "LUCIANO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME128559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018413000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.