Active NPI
Janelle Suarez Widi, D.O.
- Emergency Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS11626
- Practice address
- 1321 NW 14TH St
Miami, FL 33125-1673 - Phone
- (305) 689-5464
- NPI assigned
- Jun 27, 2012
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS11626 | FL | Primary |
Addresses
Primary practice location
1321 NW 14TH St
Miami, FL 33125-1673
Mailing address
1611 NW 12TH Ave
PO Box 016960 (M851)
Miami, FL 33136-1005
Phone (305) 243-7516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, LA, NY, PA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Bradenton, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
824 Elmwood Park Blvd
Suite 135
Harahan, LA 70123-3337
Phone (504) 370-9966
949 48TH St
Brooklyn, NY 11219-2919
Phone (702) 417-6255
Hospital & facility affiliations
- Univ of Miami Hospital and Clinics-Sylvester Compr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334359 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mylaurel Medical Group TX, PLLC | Current | Accepting new patients | |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Sterling Emergency Services of Miami Beach PA | Emergency Medicine | Current | Accepting new patients |
| Sterling Emergency Services of Miami Beach PA | Emergency Medicine | Current | Accepting new patients |
| Mylaurel Medical Group la, LLC | Current | Accepting new patients | |
| Mylaurel Medical Group Ny, PLLC | Emergency Medicine | Current | Accepting new patients |
| Virta Medical P.C. | Past | Accepting new patients |
Locations
651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000
4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776
824 Elmwood Park Blvd
Ste 135
New Orleans, LA 70123
Phone (504) 266-2576
949 48th St
Brooklyn, NY 11219
Phone (702) 417-6255
885 3rd Ave
Fl 29
New York, NY 10022
Phone (866) 603-7803
2500 West Loop S
Ste 230
Houston, TX 77027
Phone (702) 417-6255
Interoperability endpoints
- jsuarez33418@direct.med.miami.edu
- janelle.widi.4@25238.direct.athenahealth.com
Organizations & group practices 7
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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1306341060
-
- General Practice Physician
- New York, NY
- NPI 1477214237
Emergency Medicine
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1083912471
-
- General Practice Physician
- Houston, TX
- NPI 1932728946
-
- Emergency Medicine Physician
- Miami Beach, FL
- NPI 1659355253
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1093225138
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Miami, FL
- NPI 1679660617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1598029274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "PO BOX 016960 (M851)",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-243-7516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 NW 14TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251673",
"telephone_number": "305-689-5464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDI",
"first_name": "JANELLE",
"middle_name": "SUAREZ",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS11626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.