Individual provider Active NPI

Miguel Anibal Trujillo, DO

  • Emergency Medicine Physician
  • Miami, FL
National Provider Identifier
1407952633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS7828 Issued in FL
Practice address
5959 NW 7TH St
Miami, FL 33126-3129
Phone
(305) 264-1000
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS7828 FL Primary

Addresses

Primary practice location

5959 NW 7TH St
Miami, FL 33126-3129

Mailing address

3618 Palmetto Ave
Coral Gables, FL 33133-6221
Phone (305) 444-5495

Other identifiers 1

IdentifierTypeStateIssuer
46903OtherFLBCBS

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
I20060209000147 FL Practitioner - Emergency Medicine 0446265656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shi Keys LLCGroup PAC ID 2163835513, 20 clinicians

Practice addresses (Care Compare)

91500 Overseas Hwy
Tavernier, FL 33070-2547
Phone (305) 434-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shi Keys LLC Emergency Medicine CurrentSince Dec 3, 2023 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Jun 1, 2014 Accepting new patients
Marshall Amaya & Anton P L Emergency Medicine Past Accepting new patients
Ma Emergency Associates PL Emergency Medicine Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533

91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407952633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 PALMETTO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331336221",
            "telephone_number": "305-444-5495",
            "fax_number": "305-444-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263129",
            "telephone_number": "305-264-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "MIGUEL",
        "middle_name": "ANIBAL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS7828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46903",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.