Individual provider Active NPI

Daniel Elliot Nassau, M.D.

  • Pediatric Urology Physician
  • Miami, FL
National Provider Identifier
1427462167
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
ME144710 Issued in FL
Practice address
3200 SW 60TH CT Ste 104
Miami, FL 33155-4069
Phone
(305) 669-6448
Fax
(305) 663-8485
NPI assigned
Jun 19, 2014
Last updated
May 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Urology Physician 208800000X ME144710 FL
Pediatric Urology Physician 2088P0231X ME144710 FL Primary

Addresses

Primary practice location

3200 SW 60TH CT Ste 104
Miami, FL 33155-4069

Mailing address

3200 SW 60TH CT Ste 104
Miami, FL 33155-4069
Phone (305) 669-6448

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
I20220504000634 FL Practitioner - Pediatric Medicine 6305182106 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME144710FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc Pediatric Urology Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: daniel.nassau.1@32200.direct.athenahealth.com

Organizations & group practices 2

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1427462167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554069",
            "telephone_number": "305-669-6448",
            "fax_number": "305-663-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554069",
            "telephone_number": "305-669-6448",
            "fax_number": "305-663-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAU",
        "first_name": "DANIEL",
        "middle_name": "ELLIOT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME144710",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "FL",
            "license": "ME144710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.