Intensive Care Consortium Inc
Organization Active NPI Specialist · Aventura, FL
NPI 1629019062 · NPPES record last updated Aug 7, 2026
Key facts
- NPI
- 1629019062
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 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
- Organization subpart
- No
Authorized official
- Name
- Carlos Moas
- Title
- President
- Phone
- (786) 494-5154
Member organizations 1
Practitioners 642
-
Leah L Acero, ARNP
-
Azzat A Ali, MD
-
Patricia Almeida, D.O.
-
Ihab A Alshelli, M.B.B.CH, MD
-
Syed S Aslam, MD
-
Nabir Mohan Babbar I, D.O.
-
Alden Alves Bagarra, ARNP
-
Sunil Daniel Bali, M.D.
-
Mary Rebecca Barrett, ARNP
-
Kathlyn Elise Baxter, MSN, AGACNP, CCRN
-
Yisel Bell, ARNP
-
Jeremy S Berg, D.O.
-
Emilee Binette, APRN
-
Shawn Blouin, DNP, ARNP, AGACNP-BC
-
Yoel Brito, M.D.
-
Stephen D Campbell, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (10 enrollments) in FL, GA, VA, NH, TN, UT, SC, DC, ID, KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
5511 S Congress Ave
Ste 135
Atlantis, FL 33462
Phone (561) 433-0009
3477 S University Dr
Davie, FL 33328
3031 N Rocky Point Dr W
Ste 400
Tampa, FL 33607
Phone (239) 464-0768
10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301
333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | FL | Yes | |
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272561400 | Medicaid | FL | |
| 97242 | Other | FL | BLUE CROSS BLUE SHIELD |
| DE6501 | Other | FL | RAILROAD MEDICARE |
Other providers in Aventura, FL
- Integrated Care, LLC
- Integrated Regional Laboratories Pathology Services, LLC
- Integrative Nutrition Therapeutics, LLC.
- Intellirad Imaging, LLC
- Intensive Care Consortium Inc
- International Skin Center of Miami
- Interventional Rehabilitation of South Florida, Inc
- Interventional Rehabilitation of South Florida, Inc.
- Sofia Intriago
- Iplacement, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.