Individual provider Active NPI

Georges N Saliba, M.D. P.A.

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1598895252
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME70901 Issued in FL
Practice address
11880 SW 40TH St
Miami, FL 33175-3584
Phone
(305) 223-3131
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME70901 FL Primary

Addresses

Primary practice location

11880 SW 40TH St
Miami, FL 33175-3584

Mailing address

4661 SW 153Rd CT
Miami, FL 33185-5225
Phone (786) 554-1055

Other identifiers 1

IdentifierTypeStateIssuer
250559200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502001461 FL Practitioner - Emergency Medicine 7113226812 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME70901FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalogy Skin Lab CurrentSince Feb 10, 2025 Accepting new patients
Face to Face Mental Health Services, LLC Pediatrics CurrentSince Sep 20, 2024 Accepting new patients
Pediatric Consultants of Kendall, P.a. Past Accepting new patients
Emergency Physician Solutions of South Florida, LLC PastSince Mar 1, 2020 Accepting new patients

Locations

8950 SW 74th Ct
Ste 2205
Miami, FL 33156
Phone (305) 563-7877

15924 SW 92nd Ave
Palmetto Bay, FL 33157
Phone (305) 964-5824

Organizations & group practices 4

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1598895252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4661 SW 153RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855225",
            "telephone_number": "786-554-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753584",
            "telephone_number": "305-223-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIBA",
        "first_name": "GEORGES",
        "middle_name": "N",
        "credential": "M.D. P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME70901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250559200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.