Individual provider Active NPI

Keila Hoover, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1417909375
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 94105 Issued in FL
Practice address
7371 SW 24TH St
Miami, FL 33155-1402
Phone
(305) 265-4441
Fax
(305) 265-4844
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 94105 FL Primary

Addresses

Primary practice location

7371 SW 24TH St
Miami, FL 33155-1402

Mailing address

7371 SW 24TH St
Miami, FL 33155-1402
Phone (305) 443-3001

Other identifiers 2

IdentifierTypeStateIssuer
ME 94105OtherFLLICENSE NUMBER
274697200MedicaidFL

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
I20060110000964 FL Practitioner - Family Practice 6709809247 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 94105FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Physicians of Country Walk LLC CurrentSince Feb 7, 2010 Accepting new patients
Premium Healthcare Holdings, LLLP CurrentSince Jan 22, 2018 Accepting new patients
Hoover Family Medicine PA Family Medicine CurrentSince Apr 1, 2008 Accepting new patients
Medverse Clinic Family Medicine CurrentSince Sep 4, 2024 Accepting new patients
Urgent Care Physicians of Palmetto Bay LLC CurrentSince Feb 7, 2010 Accepting new patients
Premium Healthcare Holdings, LLLP Past Accepting new patients
Premium Healthcare Holdings Past Accepting new patients
Premium Healthcare Holdings, LLLP Past Accepting new patients
Premium Healthcare Holdings, LLLP Past Accepting new patients
Premium Healthcare Holdings, LLLP Past Accepting new patients
Premium Healthcare Holdings, LLLP Past Accepting new patients

Locations

13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4300

9750 SW 24th St
Miami, FL 33165
Phone (305) 222-7296

2400 SW 69th Ave
Miami, FL 33155
Phone (305) 413-5070

7371 SW 24th St
Miami, FL 33155
Phone (786) 360-4051

12905 SW 42nd St
Miami, FL 33175
Phone (305) 705-5651

13353 SW 42nd St
Miami, FL 33175
Phone (786) 972-8222

2400 SW 69th Ave
Ste 100
Miami, FL 33155

8840 SW 40th St
Ste 100
Miami, FL 33165
Phone (786) 596-3890

2400 SW 69th Ave
Ste 120
Miami, FL 33155
Phone (305) 413-5070

8750 SW 144th St
Palmetto Bay, FL 33176
Phone (786) 596-3840

Interoperability endpoints

  • Direct secure messaging: hooverfamilymedicine.keilahoover@117461.advancedmd-direct.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1417909375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7371 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551402",
            "telephone_number": "305-443-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7371 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551402",
            "telephone_number": "305-265-4441",
            "fax_number": "305-265-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "KEILA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 94105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "ME 94105",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274697200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.