Individual provider Active NPI

Sherrie Ann Bieniek, M.D.

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1497786875
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0065810 Issued in FL
Practice address
9995 SW 72ND St
Suite 208
Miami, FL 33173-4662
Phone
(305) 412-6034
Fax
(305) 412-6686
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0065810 FL Primary

Addresses

Primary practice location

9995 SW 72ND St
Suite 208
Miami, FL 33173-4662

Mailing address

9995 SW 72ND St
Suite 208
Miami, FL 33173-4662
Phone (305) 412-6034

Other identifiers 1

IdentifierTypeStateIssuer
251096100MedicaidFL

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
I20100104000144 FL Practitioner - Psychiatry 6800937517 Reassigns benefits to 1 organization
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Miami, LM Miller School of Medicine, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9995 SW 72ND St
Miami, FL 33173-4662
Phone (305) 412-6034

Hospital & facility affiliations

  • Larkin Community Hospital Hospital, South Miami, FL, CCN 100181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0065810FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sherrie Ann Bieniek, MD PA Psychiatry CurrentSince Mar 31, 2015 Accepting new patients

Locations

1601 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 463-4321

9995 Sunset Dr
Ste 208
Miami, FL 33173
Phone (305) 412-6730

Interoperability endpoints

  • Direct secure messaging: sbieniek51025@direct.med.miami.edu

Organizations & group practices 1

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 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1497786875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9995 SW 72ND ST",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734662",
            "telephone_number": "305-412-6034",
            "fax_number": "305-412-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 SW 72ND ST",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734662",
            "telephone_number": "305-412-6034",
            "fax_number": "305-412-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENIEK",
        "first_name": "SHERRIE",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0065810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251096100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.