Individual provider Active NPI

Ortal Babaev, DO

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1467074153
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20437 Issued in FL
Practice address
2504 Biscayne Blvd
Miami, FL 33137
Phone
(786) 598-4560
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 20437 FL Primary

Addresses

Primary practice location

2504 Biscayne Blvd
Miami, FL 33137

Mailing address

255 SW 11TH St Apt 1806
Miami, FL 33130-4444
Phone (347) 513-5394

Other practice location 1

1201 Langhorne Newtown Rd Ste 1
Langhorne, PA 19047-1295
Phone (215) 710-6600

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
I20231002001027 FL Practitioner - Internal Medicine 6406200013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Practices of MSMC LLCGroup PAC ID 9436336120, 180 clinicians

Practice addresses (Care Compare)

2504 Biscayne Blvd
Miami, FL 33137-4518
Phone (786) 598-4560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20437FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practices of MSMC, LLC Internal Medicine CurrentSince Oct 2, 2023 Accepting new patients

Locations

2504 Biscayne Blvd
Miami, FL 33137
Phone (786) 598-4560

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

323 Sunny Isles Blvd
Sunny Isles Beach, FL 33160
Phone (305) 695-1080

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
  • Direct secure messaging: obabaev93380@direct.msmc.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1467074153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SW 11TH ST APT 1806",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304444",
            "telephone_number": "347-513-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 BISCAYNE BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33137",
            "telephone_number": "786-598-4560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Langhorne Newtown Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471295",
            "country_code": "US",
            "telephone_number": "215-710-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABAEV",
        "first_name": "ORTAL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "20437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.