NPIMap

Individual provider Active NPI

Enrico Oliveira Souto, MD

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1518945666
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME111338 Issued in FL
Practice address
9195 SW 72 St
Suite 200
Miami, FL 33173
Phone
(305) 243-8644
Fax
(305) 243-9927
NPI assigned
Jan 7, 2006
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME111338 FL Primary

Addresses

Primary practice location

9195 SW 72 St
Suite 200
Miami, FL 33173

Mailing address

5101 SW 8St
Suite 200
Coral Gables, FL 33134
Phone (305) 359-5037

Other identifiers 2

IdentifierTypeStateIssuer
J40389OtherMABLUE CROSS
2120399MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000414 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 2365483385 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastromed LLCGroup PAC ID 2365574621, 38 clinicians

Practice addresses (Care Compare)

9195 SW 72ND St
Suite 200
Miami, FL 33173-3488
Phone (305) 359-5037

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Upper gastrointestinal (GI) endoscopy for acid reflux70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME111338FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
South Broward Hospital District CurrentSince Jul 25, 2022 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
Gastromed, LLC Gastroenterology CurrentSince Jan 1, 2024 Accepting new patients
South Broward Hospital District CurrentSince Jul 25, 2022 Accepting new patients
Coral View Surgery Center, LLC Past Accepting new patients
Mainehealth Past Accepting new patients
University of New England Gastroenterology Past Accepting new patients
Dha Endoscopy LLC Gastroenterology Past Accepting new patients
Hallmark Health Medical Associates Inc Gastroenterology Past Accepting new patients
Homestead Endoscopy Center LLC PastSince Jan 1, 2024 Accepting new patients
Primecare Physician Associates Gastroenterology Past Accepting new patients
Dha Endoscopy LLC Past Accepting new patients

Locations

20801 Biscayne Blvd
Ste 203
Aventura, FL 33180
Phone (305) 682-2580

5101 SW 8th St
Coral Gables, FL 33134
Phone (305) 441-1570

5101 SW 8th St
Fl First
Coral Gables, FL 33134

5101 SW 8th St
Ste 200
Coral Gables, FL 33134
Phone (305) 262-6060

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

434 Washington Ave
Homestead, FL 33030
Phone (305) 359-5037

1475 NW 12th Ave
#1
Miami, FL 33136
Phone (305) 243-5787

1475 NW 12th Ave
Fl 1
Miami, FL 33136
Phone (305) 243-6605

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

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

8390 W Flagler St
Ste 221
Miami, FL 33144
Phone (305) 226-5574

9195 SW 72nd St
Ste 200
Miami, FL 33173
Phone (305) 662-7234

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1136592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1518945666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 SW 8ST",
            "address_2": "SUITE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-359-5037",
            "fax_number": "786-509-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 SW 72 ST",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "305-243-8644",
            "fax_number": "305-243-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTO",
        "first_name": "ENRICO",
        "middle_name": "OLIVEIRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-07",
        "last_updated": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME111338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J40389",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2120399",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.