Individual provider Active NPI

Deborah Pevsner, M.D.

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1548256993
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME86929 Issued in FL
Practice address
1150 NW 14TH St
Miami, FL 33136-2137
Phone
(305) 243-1579
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X ME86929 FL
Diagnostic Radiology Physician 2085R0202X ME86929 FL Primary

Addresses

Primary practice location

1150 NW 14TH St
Miami, FL 33136-2137

Mailing address

1150 NW 14TH St
Miami, FL 33136-2137
Phone (305) 243-1579

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
I20050715000768 FL Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 9830125335 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Chicago College of Medicine and Surgery, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Radiologists IncGroup PAC ID 0840241907, 25 clinicians
Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians

Practice addresses (Care Compare)

5455 Oakmont Dr
Pace, FL 32571-8470
Phone (740) 348-5545

8110 Royal Palm Blvd
Suite 100
Coral Springs, FL 33065-5742
Phone (954) 341-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
West Florida Radiology Associates PA Diagnostic Radiology CurrentSince Oct 15, 2019 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Tri-County Radiologists, Inc. Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
University of Miami Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Nuclear Medicine Scanning Inc Past Accepting new patients
Elite Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

8110 Royal Palm Blvd
Ste 100
Coral Springs, FL 33065
Phone (954) 341-2325

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

160 Twin Springs Way
Defuniak Springs, FL 32435
Phone (850) 389-6955

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

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

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

1201 NW 16th St
Miami, FL 33125
Phone (305) 575-3150

1150 NW 14th St
Miami, FL 33136
Phone (305) 243-6165

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

Organizations & group practices 9

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 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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1548256993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362137",
            "telephone_number": "305-243-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362137",
            "telephone_number": "305-243-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVSNER",
        "first_name": "DEBORAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "FL",
            "license": "ME86929",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME86929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.