Individual provider Active NPI

Daniel Jose Ibanez, MD

  • Pediatric Rheumatology Physician
  • Miami, FL
National Provider Identifier
1417115353
Registry record updated Sep 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
ME106468 Issued in FL
Practice address
1601 NW 12TH Ave FL 9
Miami, FL 33136-1005
Phone
(305) 243-8854
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rheumatology Physician 2080P0216X ME106468 FL Primary

Addresses

Primary practice location

1601 NW 12TH Ave FL 9
Miami, FL 33136-1005

Mailing address

1601 NW 12TH Ave FL 9
Miami, FL 33136-1005
Phone (305) 243-8854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160808000817 FL Practitioner - Pediatric Medicine 2860569993 Reassigns benefits to 2 organizations
I20241125000430 DC Practitioner - Pediatric Medicine 2860569993 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106468FLMDPediatric Rheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Aug 1, 2025 Accepting new patients
Inova Health Care Services CurrentSince Oct 21, 2024 Accepting new patients
Inova Health Care Services Current Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Aug 1, 2025 Accepting new patients
Emergency Pediatric Services, PA CurrentSince Mar 13, 2016 Accepting new patients
Inova Health Care Services CurrentSince Oct 21, 2024 Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1601 NW 12th Ave
Fl 9
Miami, FL 33136
Phone (305) 243-6275

1580 NW 10th Ave
Miami, FL 33136
Phone (305) 243-4546

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • Direct secure messaging: dibanez35400@direct.bostonchildrens.org
  • Direct secure messaging: dibanez259553@nychhc.direct-ci.com
  • Direct secure messaging: dibanez172535@direct.med.miami.edu

Organizations & group practices 7

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757203200000",
    "number": "1417115353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NW 12TH AVE FL 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 12TH AVE FL 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBANEZ",
        "first_name": "DANIEL",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "FL",
            "license": "ME106468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.