Active NPI
Nilza Kallos, MD
- Diagnostic Radiology Physician
- Miami, FL
National Provider Identifier
1659451227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 24066
- Practice address
- 5555 Ponce de Leon Blvd
Miami, FL 33143-4721 - Phone
- (305) 689-0695
- NPI assigned
- Oct 17, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 24066 | FL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME24066 | FL | |
| Diagnostic Ultrasound Physician | 2085U0001X | 24066 | FL |
Addresses
Primary practice location
5555 Ponce de Leon Blvd
Miami, FL 33143-4721
Mailing address
5555 Ponce de Leon Blvd
Miami, FL 33143-4721
Phone (305) 689-0695
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24066 | FL | MD | Diagnostic Radiology Physician |
| ME24066 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| Nilza Kallos, M.D., P.a. | Diagnostic Radiology | Past | Accepting new patients |
Locations
5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 585-1052
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
Interoperability endpoints
- nkallos45786@direct.med.miami.edu
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.
-
- Hepatology Physician
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- NPI 1013967827
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1407908908
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1659451227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 PONCE DE LEON BLVD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331434721",
"telephone_number": "305-689-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 PONCE DE LEON BLVD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331434721",
"telephone_number": "305-689-0695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLOS",
"first_name": "NILZA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "24066",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME24066",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "FL",
"license": "24066",
"primary": false
}
],
"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 Dec 8, 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.