Active NPI
Ana M Elosegui, M.D.
- Family Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 85963
- Practice address
- 85 Grand Canal Drive
Suite 310
Miami, FL 33144-2570 - Phone
- (305) 261-5454
- Fax
- (305) 261-5455
- NPI assigned
- Jan 30, 2006
- Last updated
- Jul 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME 85963 | FL | Primary |
Addresses
Primary practice location
85 Grand Canal Drive
Suite 310
Miami, FL 33144-2570
Mailing address
85 Grand Canal Drive
Suite 310
Miami, FL 33144-2570
Phone (305) 261-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME 85963 | Other | FL | LICENSE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070904000693 | FL | Practitioner - Family Practice | 0547353757 | Practice locations: Miami, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University Central del Caribe Escuela de Medicina, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
85 Grand Canal Dr
Suite 310
Miami, FL 33144-2570
Phone (305) 261-5454
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 85963 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ana M Elosegui MD PA | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1114334125
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Miami, FL
- NPI 1982875027
-
- General Acute Care Hospital
- South Miami, FL
- NPI 1982688230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1447221130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 GRAND CANAL DRIVE",
"address_2": "SUITE 310",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442570",
"telephone_number": "305-261-5454",
"fax_number": "305-261-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 GRAND CANAL DRIVE",
"address_2": "SUITE 310",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442570",
"telephone_number": "305-261-5454",
"fax_number": "305-261-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELOSEGUI",
"first_name": "ANA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 85963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ME 85963",
"state": "FL"
}
],
"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 Jul 28, 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.