Active NPI
Laura J. Eliseo, M.D.
- Emergency Medicine Physician
- Miami, FL
National Provider Identifier
1598724403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME117686
- Practice address
- 1400 NW 12TH Ave
Miami, FL 33136-1003 - Phone
- (305) 689-5464
- NPI assigned
- Mar 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 224022 | MA | |
| Emergency Medicine Physician | 207P00000X | ME117686 | FL | Primary |
Addresses
Primary practice location
1400 NW 12TH Ave
Miami, FL 33136-1003
Mailing address
1400 NW 12TH Ave
Miami, FL 33136-1003
Phone (305) 689-5464
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J28754 | Other | MA | BCBS |
| 462236 | Other | MA | TUFTS |
| 110041043A | Medicaid | MA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Boston University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4725 N Federal Hwy
Emergency Dept
Ft. Lauderdale, FL 33308-4603
Phone (954) 771-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.84 of 100
- Quality
- 86.07
- Improvement activities
- 40
- Cost
- 75.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Emergency Physicians, PA | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Boston Emergency Physician Foundation, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
Interoperability endpoints
- leliseo2012858@direct.trinity-health.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1427021609
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1427005859
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Medical Group
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1467401877
Hospital
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1639197395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1598724403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361003",
"telephone_number": "305-689-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361003",
"telephone_number": "305-689-5464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELISEO",
"first_name": "LAURA",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "224022",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME117686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J28754",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "462236",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110041043A",
"state": "MA"
}
],
"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 Jan 10, 2014; 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.