Organization Active NPI

Miami Gastro at the Keys, P.a.

  • Gastroenterology Physician
  • Key Largo, FL
National Provider Identifier
1497482160
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MIAMI GASTRO AT THE KEYS, P.A.
Practice address
103400 Overseas Hwy Ste 251
Key Largo, FL 33037-2831
Phone
(786) 589-5298
Fax
(509) 420-9737
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Danny Juan Avalos, MDNPI 1154664118
Title
Owner
Phone
(786) 589-5298

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

103400 Overseas Hwy Ste 251
Key Largo, FL 33037-2831

Mailing address

PO Box 801240
Miami, FL 33280-1240
Phone (786) 589-5298

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@miamigastros.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230510002743 FL Part B Supplier - Clinic/Group Practice 2860858248 Receives reassigned benefits from 2 practitioners
Practice locations: Key Largo, FL; Miami, FL; Tavernier, FL

National Provider Directory

National Provider Directory

Locations

3641 S Miami Ave
Ste 100
Miami, FL 33133
Phone (305) 854-3636

Practitioners & affiliated clinicians

Practitioners 2

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": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1497482160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801240",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332801240",
            "telephone_number": "786-589-5298",
            "fax_number": "209-420-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103400 OVERSEAS HWY STE 251",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372831",
            "telephone_number": "786-589-5298",
            "fax_number": "509-420-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI GASTRO AT THE KEYS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "AVALOS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-589-5298",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@miamigastros.com",
            "affiliation": "N",
            "address_1": "103400 Overseas Hwy Ste 251",
            "city": "Key Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330372831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.