Individual provider Active NPI

Abiona Redwood, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1477840759
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME123626 Issued in FL
Practice address
1611 NW 12TH Ave
Acc West Clinic 5a
Miami, FL 33136-1005
Phone
(305) 585-7476
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME123626 FL Primary
Pediatrics Physician 208000000X ME123626 FL

Addresses

Primary practice location

1611 NW 12TH Ave
Acc West Clinic 5a
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
Acc West Clinic 5a
Miami, FL 33136-1005

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
I20151022000911 FL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4688983208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Duke University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10300 SW 216TH St
Cutler Bay, FL 33190-1003
Phone (305) 253-5100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME123626FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida, Inc CurrentSince Nov 15, 2017 Accepting new patients
Community Health of South Florida Inc Current Accepting new patients
Community Health of South Florida, Inc. CurrentSince Nov 15, 2017 Accepting new patients
Public Health Trust of Miami Dade County Florida Past Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

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, 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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1477840759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "ACC WEST CLINIC 5A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "ACC WEST CLINIC 5A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDWOOD",
        "first_name": "ABIONA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME123626",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME123626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.