Active NPI
Carol Harrenstien Tordi, MD
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1649230830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME56390
- Practice address
- 5361 NW 22ND Ave
Miami, FL 33142-8035 - Phone
- (305) 637-6400
- Fax
- (305) 636-5155
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME56390 | FL | Primary |
Addresses
Primary practice location
5361 NW 22ND Ave
Miami, FL 33142-8035
Mailing address
5607 NW 27TH Ave
Suite 1
Miami, FL 33142-2826
Phone (305) 637-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038427500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210528001126 | NV | Practitioner - Pediatric Medicine | 6608041504 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Alliance | Current | Accepting new patients | |
| Community Health Alliance | Current | Accepting new patients | |
| Community Health Alliance | Current | Accepting new patients |
Locations
1055 S Wells Ave
#120
Reno, NV 89502
Phone (775) 336-3021
680 S Rock Blvd
Reno, NV 89502
Phone (775) 336-3003
1055 S Wells Ave
Reno, NV 89502
Phone (775) 829-6300
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.
-
- Federally Qualified Health Center (FQHC)
- Sun Valley, NV
- NPI 1427283860
-
- Pharmacy
- Sun Valley, NV
- NPI 1720728298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1649230830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5607 NW 27TH AVE",
"address_2": "SUITE 1",
"city": "MIAMI",
"state": "FL",
"postal_code": "331422826",
"telephone_number": "305-637-6400",
"fax_number": "305-636-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5361 NW 22ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331428035",
"telephone_number": "305-637-6400",
"fax_number": "305-636-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORDI",
"first_name": "CAROL",
"middle_name": "HARRENSTIEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME56390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038427500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.