NPIMap

Organization Active NPI

Intensive Care Consortium Inc

  • Specialist
  • Aventura, FL
National Provider Identifier
1629019062
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INTENSIVE CARE CONSORTIUM INC
Practice address
20900 Biscayne Blvd
Aventura, FL 33180
Phone
(561) 997-0821
Fax
(561) 997-0849
NPI assigned
Jun 9, 2006
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Carlos Moas
Title
President
Phone
(786) 494-5154

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X FL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

20900 Biscayne Blvd
Aventura, FL 33180

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Other practice location 1

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (615) 372-5068

Other practice location 2

333 Borthwick Ave
Portsmouth, NH 03801-4198
Phone (603) 433-4034

Other practice location 3

1700 S 23rd St
Fort Pierce, FL 34950-4803
Phone (561) 997-0821

Other identifiers 3

IdentifierTypeStateIssuer
97242OtherFLBLUE CROSS BLUE SHIELD
272561400MedicaidFL
DE6501OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, VA, NH, TN, UT, SC, DC, ID, KY10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20050808000883 FL Part B Supplier - Clinic/Group Practice 0244269413 Receives reassigned benefits from 317 practitioners
Practice locations: Miami, FL; Ocala, FL; Orange Park, FL; Pensacola, FL; Plantation, FL; Port Charlotte, FL; Port Saint Lucie, FL; Saint Petersburg, FL…
O20101206000106 GA Part B Supplier - Clinic/Group Practice 0244269413 Receives reassigned benefits from 55 practitioners
Practice locations: Augusta, GA; Savannah, GA
O20131024001493 VA Part B Supplier - Clinic/Group Practice 0244269413 Receives reassigned benefits from 105 practitioners
Practice locations: Dulles, VA; Hopewell, VA; North Chesterfield, VA; Reston, VA; Richmond, VA; Salem, VA
O20150915000034 NH Part B Supplier - Clinic/Group Practice 0244269413 Receives reassigned benefits from 48 practitioners
Practice locations: Derry, NH; Manchester, NH; Portsmouth, NH; Rochester, NH
O20151005002117 TN Part B Supplier - Clinic/Group Practice 0244269413 Receives reassigned benefits from 65 practitioners
Practice locations: Chattanooga, TN; Hendersonville, TN; Nashville, TN
O20160210001913 UT Part B Supplier - Clinic/Group Practice 0244269413 Receives reassigned benefits from 14 practitioners
Practice locations: Salt Lake City, UT
O20180924002251 SC Part B Supplier - Clinic/Group Practice 0244269413 Receives reassigned benefits from 30 practitioners
Practice locations: Charleston, SC; Summerville, SC
O20191021000114 DC Part B Supplier - Clinic/Group Practice 0244269413 Receives reassigned benefits from 24 practitioners
Practice locations: Reston, VA
O20220324002887 ID Part B Supplier - Clinic/Group Practice 0244269413 Receives reassigned benefits from 14 practitioners
Practice locations: Idaho Falls, ID
O20260129000147 KY Part B Supplier - Clinic/Group Practice 0244269413 Receives reassigned benefits from 6 practitioners
Practice locations: Bowling Green, KY

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3477 S University Dr
Davie, FL 33328

6440 W Newberry Rd
Ste 102
Gainesville, FL 32605
Phone (352) 333-5610

3031 N Rocky Point Dr W
Ste 400
Tampa, FL 33607
Phone (239) 464-0768

333 Borthwick Ave
Ste 200
Portsmouth, NH 03801
Phone (603) 334-6260

11 Whitehall Rd
Unit 2
Rochester, NH 03867

Practitioners & affiliated clinicians

Practitioners 642

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 642

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1629019062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20900 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "561-997-0821",
            "fax_number": "561-997-0849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 Wheeler Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096521",
            "country_code": "US",
            "telephone_number": "615-372-5068",
            "fax_number": "844-867-4017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Borthwick Ave",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038014198",
            "country_code": "US",
            "telephone_number": "603-433-4034",
            "fax_number": "603-433-5169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 S 23rd St",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349504803",
            "country_code": "US",
            "telephone_number": "561-997-0821",
            "fax_number": "561-997-0849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTENSIVE CARE CONSORTIUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "MOAS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-494-5154"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "97242",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272561400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE6501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.