Individual provider Active NPI

Edward A Andraos, M.D.

  • Vascular Surgery Physician
  • Miami Beach, FL
National Provider Identifier
1417396193
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME145069 Issued in FL
Practice address
4300 Alton Rd Ste 2245
Miami Beach, FL 33140-2948
Phone
(605) 674-2906
Fax
(305) 674-3927
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME145069 FL Primary

Addresses

Primary practice location

4300 Alton Rd Ste 2245
Miami Beach, FL 33140-2948

Mailing address

4300 Alton Rd Ste 2245
Miami, FL 33140-2948
Phone (305) 674-2906

Other practice location 1

5701 Overseas Hwy Ste 14
Marathon, FL 33050-2784
Phone (786) 918-4188

Other practice location 2

6050 W 20th Ave Fl 3
Hialeah, FL 33016-2605
Phone (786) 584-5555

Other practice location 3

2845 Aventura Blvd Ste 245
Aventura, FL 33180-3120
Phone (305) 692-1080

Other practice location 4

3401 Northside Dr
Key West, FL 33040-4238
Phone (305) 294-8334

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Direct@direct.msmc.com Direct
FHIR URL https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/ Other

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
I20200818001309 FL Practitioner - Vascular Surgery 7315363637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Sinai Vascular Institute, LLCGroup PAC ID 2567866296, 13 clinicians
Physician Practices of MSMC LLCGroup PAC ID 9436336120, 180 clinicians

Practice addresses (Care Compare)

2845 Aventura Blvd
Suite 245
Aventura, FL 33180-3120
Phone (305) 674-2906

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.66 of 100Reported as group
Quality
100
Promoting interoperability
98
Improvement activities
40
Cost
69.03

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME145069FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practices of MSMC, LLC CurrentSince Oct 1, 2020 Accepting new patients
Mount Sinai Vascular Institute, LLC Vascular Surgery CurrentSince Aug 1, 2021 Accepting new patients
Mount Sinai Vascular Institute, LLC Vascular Surgery PastSince Aug 23, 2020 Accepting new patients

Locations

2845 Aventura Blvd
Ste 245
Aventura, FL 33180
Phone (305) 466-7333

836 Ponce de Leon Blvd
Ste 204
Coral Gables, FL 33134
Phone (305) 261-0001

6050 W 20th Ave
Fl 3
Hialeah, FL 33016
Phone (786) 584-5000

3401 Northside Dr
Key West, FL 33040
Phone (305) 292-9688

5701 Overseas Hwy
Ste 14
Marathon, FL 33050
Phone (305) 289-2910

4302 Alton Rd
Ste 720
Miami Beach, FL 33140
Phone (305) 532-4835

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

4300 Alton Rd
Ste 2245
Miami Beach, FL 33140
Phone (305) 674-2906

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

4302 Alton Rd
Ste 750
Miami Beach, FL 33140
Phone (305) 532-4502

4300 Alton Rd
Ste 2071
Miami Beach, FL 33140
Phone (305) 674-2071

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
  • Direct secure messaging: eandraos71258@direct.msmc.com
  • Direct secure messaging: direct@direct.msmc.com

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.

Hospital & facility affiliations 2

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1417396193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD STE 2245",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2906",
            "fax_number": "305-674-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD STE 2245",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "605-674-2906",
            "fax_number": "305-674-3927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 Overseas Hwy Ste 14",
            "address_purpose": "LOCATION",
            "city": "Marathon",
            "state": "FL",
            "postal_code": "330502784",
            "country_code": "US",
            "telephone_number": "786-918-4188",
            "fax_number": "305-298-2915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6050 W 20th Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330162605",
            "country_code": "US",
            "telephone_number": "786-584-5555",
            "fax_number": "786-584-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2845 Aventura Blvd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331803120",
            "country_code": "US",
            "telephone_number": "305-692-1080",
            "fax_number": "305-692-1081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Northside Dr",
            "address_purpose": "LOCATION",
            "city": "Key West",
            "state": "FL",
            "postal_code": "330404238",
            "country_code": "US",
            "telephone_number": "305-294-8334",
            "fax_number": "305-371-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRAOS",
        "first_name": "EDWARD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME145069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@direct.msmc.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4302 Alton Rd Ste 750",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR API",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4302 Alton Rd Ste 750",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.