Active NPI
Sebastian Antonio Abdelnur, M.D.
- Emergency Medicine Physician
- Miami, FL
National Provider Identifier
1649375783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME113679
- Practice address
- 1120 NW 14TH St
Suite 310
Miami, FL 33136-2107 - Phone
- (305) 243-5505
- Fax
- (305) 243-5819
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 240523 | NY | |
| Emergency Medicine Physician | 207P00000X | ME113679 | FL | Primary |
Addresses
Primary practice location
1120 NW 14TH St
Suite 310
Miami, FL 33136-2107
Mailing address
1120 NW 14TH St
Suite 310
Miami, FL 33136-2107
Phone (305) 243-5505
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.45 of 100
- Quality
- 81.9
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME113679 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E R Stat Inc | Emergency Medicine | Current | Accepting new patients |
| South Miami Criticare Inc. | Emergency Medicine | Current | Accepting new patients |
Locations
9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000
5000 University Dr
Miami, FL 33146
Phone (305) 666-2111
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
Organizations & group practices 7
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.
-
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-
- Emergency Medicine Physician
- South Miami, FL
- NPI 1306878210
-
- Emergency Medicine Physician
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- NPI 1114497005
-
- Emergency Medicine Physician
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- NPI 1245909449
-
- Emergency Medicine Physician
- Miami Lakes, FL
- NPI 1730901018
-
- Emergency Medicine Physician
- Palmetto Bay, FL
- NPI 1639991912
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1275200537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1649375783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 NW 14TH ST",
"address_2": "SUITE 310",
"city": "MIAMI",
"state": "FL",
"postal_code": "331362107",
"telephone_number": "305-243-5505",
"fax_number": "305-243-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 NW 14TH ST",
"address_2": "SUITE 310",
"city": "MIAMI",
"state": "FL",
"postal_code": "331362107",
"telephone_number": "305-243-5505",
"fax_number": "305-243-5819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELNUR",
"first_name": "SEBASTIAN",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NY",
"license": "240523",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME113679",
"primary": true
}
],
"identifiers": [],
"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 25, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.