Individual provider Active NPI

Elian Pernas, APRN

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1568298206
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11035090 Issued in FL
Practice address
13751 SW 42ND Ter
Miami, FL 33175-3775
Phone
(754) 236-6409
NPI assigned
Sep 10, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 APRN11035090 FL Primary

Addresses

Primary practice location

13751 SW 42ND Ter
Miami, FL 33175-3775

Mailing address

13751 SW 42ND Ter
Miami, FL 33175-3775
Phone (754) 236-6409

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
I20260324002129 FL Practitioner - Nurse Practitioner 7315421773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D.H. Medical, LLCGroup PAC ID 6103014618, 19 clinicians

Practice addresses (Care Compare)

226 N Nova Rd
Suite 184
Ormond Beach, FL 32174-5124
Phone (888) 808-0488

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11035090FLMDFamily Medicine Physician

Organizations & group practices 1

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 2

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1568298206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13751 SW 42ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753775",
            "telephone_number": "754-236-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13751 SW 42ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753775",
            "telephone_number": "754-236-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNAS",
        "first_name": "ELIAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11035090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.