Individual provider Active NPI

Elizabeth Anne Nicolli, MD

  • Otolaryngology Physician
  • Miami, FL
National Provider Identifier
1487972303
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME129291 Issued in FL
Practice address
1120 NW 14TH St
Miami, FL 33136-2107
Phone
(305) 243-3564
Fax
(305) 243-2009
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MT197424 PA
Student in an Organized Health Care Education/Training Program 390200000X MT197424 PA
Otolaryngology Physician 207Y00000X ME129291 FL Primary
Otolaryngology Physician 207Y00000X 38013 SC

Addresses

Primary practice location

1120 NW 14TH St
Miami, FL 33136-2107

Mailing address

1120 NW 14TH St
Miami, FL 33136-2107
Phone (305) 243-3564

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
I20161029000111 FL Practitioner - Otolaryngology 3173839289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Virginia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1192 E Newport Ctr Dr
Deerfield Beach, FL 33442-7753

1192 E Newport Ctr Dr 2ND FLR
Umhc Deerfield Beach
Deerfield Beach, FL 33442-7753
Phone (305) 355-5000

1192 E Newport Ctr Dr FL
1 Umhc Deerfield Beach
Deerfield Beach, FL 33442-7753
Phone (305) 585-7163

1400 NW 12TH Ave
Miami, FL 33136-1003

1400 NW 12TH Ave 1St FL
Miami, FL 33136-1003

1400 NW 12TH Ave 1St FLR
Umhc Uhealth Tower
Miami, FL 33136-1003

1400 NW 12TH Ave 1St FLR Gi Ctr
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 243-4598

1400 NW 12TH Ave 5TH FLR Sicu
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 355-5241

1400 NW 12TH Ave E
Miami, FL 33136-1003

1400 NW 12TH Ave E BLDG 4TH FLR
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 689-5437

1400 NW 12TH Ave East
5 Reproductive Endocrinology and Fertility Ce
Miami, FL 33136-1003
Phone (305) 243-3371

1400 NW 12TH Ave ENT-7
University of Miami Hospital
Miami, FL 33136-1003
Phone (305) 355-1684

1400 NW 12TH Ave Hematology Consult
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 689-2023

1400 NW 12TH Ave ICU
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 243-0783

1400 NW 12TH Ave Mob
Ste3 Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 243-2020

1400 NW 12TH Ave RM
2064 University of Miami Hospital
Miami, FL 33136-1003
Phone (954) 210-1095

1475 NW 12TH
1 Umhc SCCC
Miami, FL 33136-1002
Phone (305) 243-8434

1475 NW 12TH Ave
Miami, FL 33136-1002

1475 NW 12TH Ave 1St FL
Miami, FL 33136-1002

1475 NW 12TH Ave 1St FLR
Miami, FL 33136-1002

1475 NW 12TH Ave 3Rd Floor
Umhc SCCC
Miami, FL 33136-1002
Phone (305) 243-8644

1475 NW 12TH Ave 4TH FLR Stem Cell
Umhc SCCC
Miami, FL 33136-1002
Phone (954) 831-2763

1475 NW 12TH Ave C
130 Umhc SCCC Alex'S Place
Miami, FL 33136-1002
Phone (305) 243-6857

1475 NW 12TH Ave Courtelis Ctr
C021 Umhc SCCC
Miami, FL 33136-1002
Phone (305) 243-6387

1475 NW 12TH Ave Head and Neck Clinic
Umhc SCCC
Miami, FL 33136-1002
Phone (305) 585-7890

Hospital & facility affiliations

  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079
  • Jackson Health System Hospital, Miami, FL, CCN 100022

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT197424PAMDOtolaryngology Physician
38013SCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
University of Miami Current Accepting new patients
University of Miami Past Accepting new patients
University of Miami Past Accepting new patients

Locations

1192 E Newport Center Dr
Ste 100
Deerfield Beach, FL 33442
Phone (305) 243-6006

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1120 NW 14th St
Fl 5
Miami, FL 33136
Phone (305) 243-2000

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1120 NW 14th St
Miami, FL 33136
Phone (305) 243-2000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: enicolli50654@direct.med.miami.edu

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1487972303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362107",
            "telephone_number": "305-243-3564",
            "fax_number": "305-243-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362107",
            "telephone_number": "305-243-3564",
            "fax_number": "305-243-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLLI",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MT197424",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT197424",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME129291",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "38013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.