Individual provider Active NPI

Victoria E Haydar, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1538340237
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0045809 Issued in FL
Practice address
10251 SW 72ND St
Suite 102
Miami, FL 33173-2957
Phone
(305) 279-1975
Fax
(305) 274-9263
NPI assigned
Nov 21, 2007
Last updated
Mar 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0045809 FL Primary

Addresses

Primary practice location

10251 SW 72ND St
Suite 102
Miami, FL 33173-2957

Mailing address

10251 SW 72ND St
Suite 102
Miami, FL 33173-2957
Phone (305) 279-1975

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
I20080913000000 FL Practitioner - Family Practice 1456427574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10251 SW 72ND St
Suite 102
Miami, FL 33173-2957
Phone (305) 279-1975

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0045809FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria E Haydar MD PA Family Medicine CurrentSince Sep 1, 2007 Accepting new patients
Next Level Medical Center LLC PastSince Jun 1, 2023 Accepting new patients

Locations

10251 SW 72nd St
Ste 102
Miami, FL 33173
Phone (305) 279-1975

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1538340237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10251 SW 72ND ST",
            "address_2": "SUITE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732957",
            "telephone_number": "305-279-1975",
            "fax_number": "305-274-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 SW 72ND ST",
            "address_2": "SUITE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732957",
            "telephone_number": "305-279-1975",
            "fax_number": "305-274-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDAR",
        "first_name": "VICTORIA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0045809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.