Individual provider Active NPI

Melissa Danielle Gans, M.D.

  • Pediatric Allergy/Immunology Physician
  • Miami, FL
National Provider Identifier
1588059448
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X
License
ME148769 Issued in FL
Practice address
1580 NW 10TH Ave
Miami, FL 33136-1013
Phone
(305) 243-8441
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Allergy/Immunology Physician 2080P0201X ME148769 FL Primary

Addresses

Primary practice location

1580 NW 10TH Ave
Miami, FL 33136-1013

Mailing address

1580 NW 10TH Ave
Miami, FL 33136-1013
Phone (305) 243-8441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180914001507 NY Practitioner - Pediatric Medicine 5395096283 Reassigns benefits to 3 organizations
I20210422000620 FL Practitioner - Pediatric Medicine 5395096283 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148769FLMDPediatric Allergy/Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aizer Health , Inc. CurrentSince Sep 1, 2020 Accepting new patients
Boston Children'S Health Physicians, LLP Pediatric Allergy/Immunology CurrentSince May 1, 2020 Accepting new patients
University of Miami CurrentSince Apr 1, 2021 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince May 1, 2020 Accepting new patients
University of Miami CurrentSince Apr 1, 2021 Accepting new patients
Aizer Health , Inc. CurrentSince Sep 1, 2020 Accepting new patients
Montefiore Medical Center CurrentSince Aug 10, 2018 Accepting new patients
University of Miami Current Accepting new patients
Montefiore Medical Center CurrentSince Aug 10, 2018 Accepting new patients
University of Miami Pediatric Allergy/Immunology Past Accepting new patients

Locations

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

1120 NW 14th St
Miami, FL 33136
Phone (305) 243-2000

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

1580 NW 10th Ave
Fl 1
Miami, FL 33136
Phone (305) 243-3166

2801 NW 79th Ave
Ste 401
Miami, FL 33122

1580 NW 10th Ave
Miami, FL 33136
Phone (305) 243-4546

111 E 210th St
Bronx, NY 10467

19 Bradhurst Ave
Ste 1400
Hawthorne, NY 10532
Phone (914) 493-7997

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1588059448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 NW 10TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361013",
            "telephone_number": "305-243-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 NW 10TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361013",
            "telephone_number": "305-243-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANS",
        "first_name": "MELISSA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "FL",
            "license": "ME148769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.