Individual provider Active NPI

Ailene Soper

  • Medical Physician Assistant
  • Miami Beach, FL
National Provider Identifier
1538875943
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1248 Marseille Dr Apt 5
Miami Beach, FL 33141-2858
Phone
(512) 903-8736
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

1248 Marseille Dr Apt 5
Miami Beach, FL 33141-2858

Mailing address

1248 Marseille Dr Apt 5
Miami Beach, FL 33141-2858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230516001003 TX Practitioner - Physician Assistant 0345606448 Reassigns benefits to 1 organization
I20251029004903 FL Practitioner - Physician Assistant 0345606448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians
Tsa-Texas Surgical Associates LLPGroup PAC ID 7416844329, 5 clinicians

Practice addresses (Care Compare)

1824 King St
Suite 200
Jacksonville, FL 32204-4736
Phone (904) 384-3343

7737 Southwest Fwy
Suite 201
Houston, TX 77074-1819
Phone (713) 776-3402

Texas Surgical Associates
7737 Southwest Freeway Suite 201
Houston, TX 77074-1819

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic & Vascular Surgical Associates PA CurrentSince Oct 13, 2025 Accepting new patients

Locations

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

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.

Hospital & facility affiliations 7

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1538875943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 MARSEILLE DR APT 5",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331412858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 MARSEILLE DR APT 5",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331412858",
            "telephone_number": "512-903-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPER",
        "first_name": "AILENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.