Organization Active NPI

Miami Renal Institute LLC

  • Nephrology Physician
  • Boca Raton, FL
National Provider Identifier
1487005195
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME103495 Issued in FL
Legal business name
MIAMI RENAL INSTITUTE LLC
Practice address
1050 NW 15TH St Ste 111B
Boca Raton, FL 33486-1375
Phone
(561) 560-7524
Fax
(305) 501-4731
NPI assigned
Jun 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Dr. Ali Nayer, MDNPI 1679614655
Title
President
Phone
(561) 560-7524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME103495 FL Primary

Addresses

Primary practice location

1050 NW 15TH St Ste 111B
Boca Raton, FL 33486-1375

Mailing address

1050 NW 15TH St Ste 111B
Boca Raton, FL 33486-1375
Phone (561) 560-7524

Other identifiers 1

IdentifierTypeStateIssuer
000770700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161024000650 FL Part B Supplier - Clinic/Group Practice 5597043737 Receives reassigned benefits from 1 practitioner
Practice locations: Pembroke Pines, FL; Hallandale Beach, FL; Miami Gardens, FL; Hollywood, FL; Boca Raton, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

1050 NW 15th St
Ste 111B
Boca Raton, FL 33486
Phone (305) 615-1514

2040 NE 164th St
Ste 204
North Miami Beach, FL 33162
Phone (305) 615-1514

2040 NE 163rd St
Ste 204
North Miami Beach, FL 33162
Phone (305) 720-4004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1487005195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST STE 111B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-560-7524",
            "fax_number": "305-501-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST STE 111B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-560-7524",
            "fax_number": "305-501-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI RENAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "NAYER",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-560-7524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME103495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000770700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.