Individual provider Active NPI

Sara Daniela Zighelboim, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1609400944
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115126 Issued in FL
Practice address
1684 NE Miami Gardens Dr
Miami, FL 33179-4900
Phone
(305) 487-8480
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PA9115126 FL
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA9115126 FL Primary

Addresses

Primary practice location

1684 NE Miami Gardens Dr
Miami, FL 33179-4900

Mailing address

1684 NE Miami Gardens Dr
North Miami Beach, FL 33179-4900
Phone (307) 487-8480

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707000947 FL Practitioner - Physician Assistant 2860872959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Practices of MSMC LLCGroup PAC ID 9436336120, 180 clinicians

Practice addresses (Care Compare)

1684 NE Miami Gardens Dr
North Miami Beach, FL 33179-4900
Phone (305) 919-1970

2845 Aventura Blvd
Aventura, FL 33180-3120
Phone (305) 692-1080

4302 Alton Rd
Miami Beach, FL 33140-2818

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9115126FLMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: szighelboim84337@direct.msmc.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1609400944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 NE MIAMI GARDENS DR",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794900",
            "telephone_number": "307-487-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 NE MIAMI GARDENS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794900",
            "telephone_number": "305-487-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIGHELBOIM",
        "first_name": "SARA",
        "middle_name": "DANIELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "PA9115126",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.