Individual provider Active NPI

Anne-Sophie Lessard, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Miami, FL
National Provider Identifier
1609309491
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME135976 Issued in FL
Practice address
1120 NW 14TH St
CRB 4TH Floor
Miami, FL 33136
Phone
(305) 243-4500
Fax
(305) 243-4535
NPI assigned
Apr 7, 2017
Reactivated
Jun 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Plastic and Reconstructive Surgery Physician 2086S0122X ME135976 FL Primary

Addresses

Primary practice location

1120 NW 14TH St
CRB 4TH Floor
Miami, FL 33136

Mailing address

1120 NW 14TH St
CRB 4TH Floor
Miami, FL 33136
Phone (305) 243-4500

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
I20190104000676 FL Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 0840536397 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Surgery Boutique LLC CurrentSince Sep 23, 2024 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients

Locations

135 San Lorenzo Ave
Ste 720
Coral Gables, FL 33146
Phone (305) 445-9010

5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 585-1052

3650 NW 82nd Ave
Ste 302
Doral, FL 33166
Phone (305) 798-1240

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

1120 NW 14th St
Fl 4
Miami, FL 33136
Phone (305) 243-4500

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1609309491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NW 14TH ST",
            "address_2": "CRB 4TH FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-243-4500",
            "fax_number": "305-243-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 NW 14TH ST",
            "address_2": "CRB 4TH FLOOR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-243-4500",
            "fax_number": "305-243-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSARD",
        "first_name": "ANNE-SOPHIE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2018-06-28",
        "deactivation_date": "2017-11-09",
        "reactivation_date": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME135976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.