Individual provider Active NPI

Luis A Arias-Urdaneta, M.D.

  • Rheumatology Physician
  • Miami Shores, FL
National Provider Identifier
1629396486
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME106280 Issued in FL
Practice address
209 NE 95TH St Suite 4
Miami Shores, FL 33138-2745
Phone
(786) 206-8610
Fax
(786) 206-8612
NPI assigned
May 4, 2010
Last updated
May 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L-243019 MA
Rheumatology Physician 207RR0500X ME106280 FL Primary

Addresses

Primary practice location

209 NE 95TH St Suite 4
Miami Shores, FL 33138-2745

Mailing address

209 NE 95TH St Suite 4
Miami Shores, FL 33138-2745
Phone (786) 206-8610

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
I20130102000354 FL Practitioner - Rheumatology 1658539853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

209 NE 95TH St
Suite 4
Miami Shores, FL 33138-2745
Phone (786) 206-8610

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L-243019MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Shores Medical Group LLC Rheumatology CurrentSince Oct 1, 2021 Accepting new patients
Carlos a. Sesin, MD, PA Rheumatology CurrentSince Oct 21, 2012 Accepting new patients
Ortho Florida, LLC Past Accepting new patients
Miami Shores Heart Center LLC PastSince Oct 1, 2021 Accepting new patients

Locations

1801 Ponce de Leon Blvd
Coral Gables, FL 33134
Phone (305) 531-6766

4302 Alton Rd
Ste 810
Miami Beach, FL 33140
Phone (305) 531-6766

209 NE 95th St
Ste 4
Miami Shores, FL 33138
Phone (305) 399-7485

209 NE 95th St
Ste 5
Miami Shores, FL 33138
Phone (786) 206-8610

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1629396486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NE 95TH ST SUITE 4",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382745",
            "telephone_number": "786-206-8610",
            "fax_number": "786-206-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NE 95TH ST SUITE 4",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382745",
            "telephone_number": "786-206-8610",
            "fax_number": "786-206-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIAS-URDANETA",
        "first_name": "LUIS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "L-243019",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME106280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

Verify at the official NPI Registry.