Organization Active NPI

Open Access Miami, LLC

  • Vascular & Interventional Radiology Physician
  • North Miami Beach, FL
National Provider Identifier
1407053598
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
OPEN ACCESS MIAMI, LLC
Practice address
16401 NW 2ND Ave Ste 101
North Miami Beach, FL 33169-6036
Phone
(305) 948-5333
Fax
(305) 948-3246
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Sanford David AltmanNPI 1962436220
Title
Owner / Medical Director
Phone
(305) 948-5333

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
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

16401 NW 2ND Ave Ste 101
North Miami Beach, FL 33169-6036

Mailing address

16401 NW 2ND Ave Ste 101
North Miami Beach, FL 33169-6036
Phone (305) 948-5333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081202000458 FL Part B Supplier - Clinic/Group Practice 4688735269 Receives reassigned benefits from 2 practitioners
Practice locations: 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
10D1076685Open Access Miami, LLC16401 NW 2ND Ave #101B, Miami, FL 33169Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1407053598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16401 NW 2ND AVE STE 101",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696036",
            "telephone_number": "305-948-5333",
            "fax_number": "305-948-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16401 NW 2ND AVE STE 101",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696036",
            "telephone_number": "305-948-5333",
            "fax_number": "305-948-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ACCESS MIAMI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-948-5333"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.