Individual provider Active NPI

Clifford E Medina, MD

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1477634129
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22239 Issued in SC
Practice address
4300 Alton Rd
Suite 440
Miami Beach, FL 33140-2948
Phone
(305) 674-5159
Fax
(305) 535-7999
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22239 SC Primary

Addresses

Primary practice location

4300 Alton Rd
Suite 440
Miami Beach, FL 33140-2948

Mailing address

4300 Alton Rd
Suite 440
Miami Beach, FL 33140-2948
Phone (305) 674-5159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100528000203 SC Practitioner - Internal Medicine 5799814893 Reassigns benefits to 1 organization
I20160615001380 FL Practitioner - Internal Medicine 5799814893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 1998
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)

4304 Alton Rd
FL 1
Miami Beach, FL 33140-2885
Phone (305) 674-2876

Hospital & facility affiliations

  • Home Care Plus Inc Home health agency, Doral, FL, CCN 109078
  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22239SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dillon Internal Medicine Associates PA Internal Medicine Current Accepting new patients
Physician Practices of MSMC, LLC Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Sep 9, 2013 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Sep 9, 2013 Accepting new patients

Locations

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

4300 Alton Rd
Ste 440
Miami Beach, FL 33140
Phone (305) 674-5159

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

705 N 8th Ave
Ste 1A
Dillon, SC 29536
Phone (803) 774-2478

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0900120

Organizations & group practices 4

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 2

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1477634129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "SUITE 440",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-5159",
            "fax_number": "305-535-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "SUITE 440",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-5159",
            "fax_number": "305-535-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "CLIFFORD",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "22239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.