Individual provider Active NPI

Yamila Akmuradova, PA-C

  • Physician Assistant
  • Coral Gables, FL
National Provider Identifier
1548495773
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104707 Issued in FL
Practice address
4441 SW 1St St
Coral Gables, FL 33134-1520
Phone
(786) 269-7201
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104707 FL Primary

Addresses

Primary practice location

4441 SW 1St St
Coral Gables, FL 33134-1520

Mailing address

4441 SW 1St St
Coral Gables, FL 33134-1520
Phone (786) 269-7201

Other identifiers 1

IdentifierTypeStateIssuer
PA 9104707OtherFLFLORIDA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yamila.akmuradova@fcn.eclinicaldirectplus.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100114000631 FL Practitioner - Physician Assistant 2163564063 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc CurrentSince May 14, 2014 Accepting new patients
New World Health Centers Inc PastSince Apr 1, 2021 Accepting new patients
JMH Internal Medicine Specialist LLC Past Accepting new patients
Legion Park Medical Center PastSince Apr 1, 2021 Accepting new patients

Locations

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

Interoperability endpoints

  • Direct secure messaging: yamila.akmuradova@fcn.eclinicaldirectplus.com
  • Direct secure messaging: yamilaakmuradova@directaddress.net

Organizations & group practices 5

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": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1548495773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 SW 1ST ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341520",
            "telephone_number": "786-269-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 SW 1ST ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341520",
            "telephone_number": "786-269-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKMURADOVA",
        "first_name": "YAMILA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "PA 9104707",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yamila.akmuradova@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2601 SW 37th Ave Ste 601",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331332750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.