Individual provider Active NPI

Luis G Geada, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1649236837
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME51804 Issued in FL
Practice address
3821 SW 107TH Ave
Miami, FL 33165-3640
Phone
(305) 226-0817
Fax
(305) 226-2672
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME51804 FL Primary

Addresses

Primary practice location

3821 SW 107TH Ave
Miami, FL 33165-3640

Mailing address

3821 SW 107TH Ave
Miami, FL 33165-3640
Phone (305) 226-0817

Other identifiers 1

IdentifierTypeStateIssuer
049511500MedicaidFL

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
I20071010000773 FL Practitioner - Internal Medicine 0749376440 Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3821 SW 107TH Ave
Miami, FL 33165-3640

3821 Sw107Th Ave
Miami, FL 33165-3640
Phone (305) 226-0817

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luis G Geada MD Internal Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJHJBA/Endpoint/GJHJBA

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1649236837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653640",
            "telephone_number": "305-226-0817",
            "fax_number": "305-226-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653640",
            "telephone_number": "305-226-0817",
            "fax_number": "305-226-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEADA",
        "first_name": "LUIS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME51804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049511500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.