Active NPI
Oksana Maltseva, PA
- Physician Assistant
- Sunny Isles Beach, FL
National Provider Identifier
1578801536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9107075
- Practice address
- 19390 Collins Ave
Suite 1104
Sunny Isles Beach, FL 33160-2200 - Phone
- (305) 283-8370
- NPI assigned
- Jan 27, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9107075 | FL | Primary |
Addresses
Primary practice location
19390 Collins Ave
Suite 1104
Sunny Isles Beach, FL 33160-2200
Mailing address
19390 Collins Ave Apt 1510
Sunny Isles Beach, FL 33160-2277
Phone (305) 283-8370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9107075 | Other | FL | PHYSICIAN ASSISTANT LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 E Hallandale Beach Blvd
Suite 301
Hallandale Beach, FL 33009-4835
Phone (954) 458-2572
5355 Lyons Rd
Coconut Creek, FL 33073-2825
Phone (954) 570-9595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9107075 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest Drive Physicians | Past | Accepting new patients | |
| Mel-Bay Health Care Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJGBDA
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Hallandale Beach, FL
- NPI 1750377453
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1407162654
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1740590157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1578801536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19390 COLLINS AVE APT 1510",
"city": "SUNNY ISLES BEACH",
"state": "FL",
"postal_code": "331602277",
"telephone_number": "305-283-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19390 COLLINS AVE",
"address_2": "SUITE 1104",
"city": "SUNNY ISLES BEACH",
"state": "FL",
"postal_code": "331602200",
"telephone_number": "305-283-8370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALTSEVA",
"first_name": "OKSANA",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-27",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9107075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT LICENSE",
"identifier": "PA9107075",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunny Isles Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.