Active NPI
Evangelos V Badiavas, M.D.
- Dermatology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME65961
- Practice address
- 1295 NW 14TH St
Miami, FL 33125-1610 - Phone
- (305) 243-6704
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | MD09968 | RI | |
| Dermatology Physician | 207N00000X | ME65961 | FL | Primary |
Addresses
Primary practice location
1295 NW 14TH St
Miami, FL 33125-1610
Mailing address
1295 NW 14TH St
Miami, FL 33125-1610
Phone (305) 243-6704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9020737 | Medicaid | RI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 NW 14TH St
410 Pac
Miami, FL 33136-2115
Phone (305) 243-3100
1601 NW 12TH Ave
Miami, FL 33136-1005
1601 NW 12TH Ave 1St FL
Miami, FL 33136-1005
1601 NW 12TH Ave 1St FLR
Miami, FL 33136-1005
1601 NW 12TH Ave Room
2060 MCCD
Miami, FL 33136-1005
Phone (305) 585-5635
1601 NW 12TH Avenue 5065 /
5TH Mailman Center for Child Development
Miami, FL 33136-1005
Phone (305) 243-6251
1611 NW 12 Ave
Miami, FL 33136-1005
1611 NW 12 TH Ave
Jackson Memorial Hospital
Miami, FL 33136-1005
Phone (305) 355-5000
1611 NW 12TH
3B Jackson Memorial Hospital Acc West
Miami, FL 33136-1005
Phone (305) 585-7476
1611 NW 12TH Ave 2ND FL
Miami, FL 33136-1005
1611 NW 12TH Ave 2ND FLR
Miami, FL 33136-1005
1611 NW 12TH Ave 5TH Floor
Acc Clinic West JMH
Miami, FL 33136-1005
Phone (305) 243-4211
1611 NW 12TH Ave Acc E
Miami, FL 33136-1005
1611 NW 12TH Ave Acc E 2ND FLR
Miami, FL 33136-1005
1611 NW 12TH Ave Acc W
Miami, FL 33136-1005
1611 NW 12TH Ave Acc West
Miami, FL 33136-1005
1611 NW 12TH Ave Central
Miami, FL 33136-1005
1611 NW 12TH Ave DTC 1St FLR
JMH
Miami, FL 33136-1005
Phone (305) 585-6970
1611 NW 12TH Ave E
6006 Holtz Children'S Hospital
Miami, FL 33136-1005
Phone (904) 697-3945
1611 NW 12TH Ave FL
3 Acc W. Jackson Memorial Hospital
Miami, FL 33136-1005
Phone (305) 355-5000
1611 NW 12TH Ave JMH
Miami, FL 33136-1005
1611 NW 12TH Ave JMH 5TH FL
Acc West
Miami, FL 33136-1005
Phone (305) 689-7303
1611 NW 12TH Ave N Wing
Miami, FL 33136-1005
1611 NW 12TH Ave-Nicu
JMH Holtz Children'S Hospital
Miami, FL 33136-1005
Phone (305) 547-1496
1828 Ponce de Leon Blvd
Coral Gables, FL 33134-4419
Phone (305) 585-6913
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.93 of 100
- Quality
- 78.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 162 |
| Skin biopsy | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD09968 | RI | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| University Pathologists, LLC | Dermatology | Past | Accepting new patients |
| University of Miami | Past | Accepting new patients | |
| PBD&P Inc | Dermatology | Past | Accepting new patients |
Locations
1828 Ponce de Leon Blvd
Coral Gables, FL 33134
Phone (305) 448-5795
1475 NW 12th Ave
#2
Miami, FL 33136
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1611 NW 12th Ave
#E
Miami, FL 33136
1611 NW 12th Ave
#3B
Miami, FL 33136
Phone (305) 243-7618
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- ebadiavas5246@direct.med.miami.edu
- https://pbd.mmi.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 5
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.
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-
- Internal Medicine Physician
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- NPI 1124768627
-
- Pediatric Allergy/Immunology Physician
- Miami, FL
- NPI 1427609080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1447218995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 NW 14TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251610",
"telephone_number": "305-243-6704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 NW 14TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251610",
"telephone_number": "305-243-6704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADIAVAS",
"first_name": "EVANGELOS",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "RI",
"license": "MD09968",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME65961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9020737",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.