Individual provider Active NPI

Tariku Menberu, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1417467853
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9427595 Issued in FL
Practice address
13540 SW 135TH Ave
Miami, FL 33186-6184
Phone
(786) 223-0994
NPI assigned
Oct 11, 2017
Last updated
Oct 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9427595 FL Primary

Addresses

Primary practice location

13540 SW 135TH Ave
Miami, FL 33186-6184

Mailing address

13540 SW 135TH Ave
Miami, FL 33186-6184

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180228000698 FL Practitioner - Nurse Practitioner 0840551263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10300 SW 216TH St
Cutler Bay, FL 33190-1003
Phone (305) 253-5100

10300 SW 216TH St Unit
2M CHI South Mobile Unit
Cutler Bay, FL 33190-1003
Phone (305) 253-5100

13805 SW 264TH St
Naranja, FL 33032-7602
Phone (305) 258-6813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9427595FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida Inc CurrentSince Nov 15, 2017 Accepting new patients
Community Health of South Florida, Inc CurrentSince Nov 15, 2017 Accepting new patients
Community Health of South Florida, Inc. Past Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

810 W Mowry Dr
Homestead, FL 33030
Phone (305) 242-6040

228 Atlantic Blvd
Key Largo, FL 33037
Phone (305) 743-0383

13540 SW 135th Ave
Miami, FL 33186
Phone (786) 223-0994

91200 Overseas Hwy
Ste 17
Tavernier, FL 33070
Phone (305) 853-0002

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1417467853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13540 SW 135TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13540 SW 135TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866184",
            "telephone_number": "786-223-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENBERU",
        "first_name": "TARIKU",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9427595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.