Individual provider Active NPI

Patricia I Ristic, M.D.

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1669506812
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME74752 Issued in FL
Practice address
8501 SW 124TH Ave Ste 211
Miami, FL 33183-4633
Phone
(309) 595-6488
Fax
(305) 595-3532
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME74752 FL Primary

Addresses

Primary practice location

8501 SW 124TH Ave Ste 211
Miami, FL 33183-4633

Mailing address

8501 SW 124TH Ave Ste 211
Miami, FL 33183-4633
Phone (055) 956-4883

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
I20210920002803 FL Practitioner - Obstetrics/Gynecology 5799801130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rush Medical College of Rush University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Susan Fox D.O. LLCGroup PAC ID 4284936287, 2 clinicians

Practice addresses (Care Compare)

8501 SW 124TH Ave
Suite 207
Miami, FL 33183-4633
Phone (786) 414-6133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME74752FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Womens Health and Wellness LLC CurrentSince Sep 11, 2025 Accepting new patients
Susan Fox, D.O., LLC Obstetrics & Gynecology CurrentSince Jan 19, 2024 Accepting new patients
Pavilion for Women'S Care LLC Obstetrics & Gynecology Past Accepting new patients

Locations

8501 SW 124th Ave
Ste 207
Miami, FL 33183
Phone (305) 279-1500

8501 SW 124th Ave
Ste 211
Miami, FL 33183
Phone (305) 595-6488

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1669506812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834633",
            "telephone_number": "055-956-4883",
            "fax_number": "305-595-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 SW 124TH AVE STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834633",
            "telephone_number": "309-595-6488",
            "fax_number": "305-595-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTIC",
        "first_name": "PATRICIA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME74752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.