Individual provider Active NPI

Laida N Casanova, M.D.

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1508841008
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME46340 Issued in FL
Practice address
11040 N Kendall Dr
Suite# C-100
Miami, FL 33176-1272
Phone
(305) 596-9979
Fax
(305) 598-0063
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME46340 FL
Obstetrics & Gynecology Physician 207V00000X ME46340 FL Primary

Addresses

Primary practice location

11040 N Kendall Dr
Suite# C-100
Miami, FL 33176-1272

Mailing address

11040 N Kendall Dr
Suite# C-100
Miami, FL 33176-1272
Phone (305) 596-9979

Other identifiers 6

IdentifierTypeStateIssuer
3532140OtherFLAETNA
208186OtherFLAVMED
0515511500MedicaidFL
07-00458OtherFLUHC TX
0015HILHOtherFLNHP
96906OtherFLBCBS

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
I20040713000776 FL Practitioner - Obstetrics/Gynecology 7012995277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

11040 N Kendall Dr
100 Laida N Casanova MD LLC
Miami, FL 33176-1272
Phone (305) 596-9979

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

7500 SW 87TH Ave
Suite 100
Miami, FL 33173-5426
Phone (305) 740-5100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince May 1, 2004 Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

11040 SW 88th St
#C100
Miami, FL 33176
Phone (305) 270-5305

11040 N Kendall Dr
#C100
Miami, FL 33176
Phone (305) 270-5305

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAAABD/Endpoint/BAAABD

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1508841008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 N KENDALL DR",
            "address_2": "SUITE# C-100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761272",
            "telephone_number": "305-596-9979",
            "fax_number": "305-598-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 N KENDALL DR",
            "address_2": "SUITE# C-100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761272",
            "telephone_number": "305-596-9979",
            "fax_number": "305-598-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "LAIDA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME46340",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME46340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3532140",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "208186",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515511500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC TX",
            "identifier": "07-00458",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "0015HILH",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96906",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.