Active NPI
Niyasdeen Dieguez Santiesteban, M.D.
- Pediatrics Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME 124313
- Practice address
- 3100 SW 62ND Ave
Miami, FL 33155-3009 - Phone
- (786) 599-3419
- NPI assigned
- Jul 12, 2012
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 124313 | FL | Primary |
| Pediatrics Physician | 208000000X | ME124313 | FL |
Addresses
Primary practice location
3100 SW 62ND Ave
Miami, FL 33155-3009
Mailing address
9910 W Calusa Club Dr
Miami, FL 33186-1512
Phone (786) 599-3419
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373797731 | Medicaid | FL | |
| ME124313 | Other | FL | LICENSE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180320000518 | FL | Practitioner - Pediatric Medicine | 2163784778 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urgent Care Physicians of West Kendall LLCUrgent Care Physicians of Country Walk LLCUrgent Care Physicians of Tamiami LLCUrgent Care Physicians of Cutler Bay LLCUrgent Care Physicians of Palmetto Bay LLCUrgent Care Physicians of Westchester LLC
Practice addresses (Care Compare)
13001 N Kendall Dr
Miami, FL 33186-1708
Phone (786) 596-3800
13500 SW 152 St
Miami, FL 33177-1111
Phone (786) 596-4300
14660 SW 8TH St
Suite 100
Miami, FL 33184-3135
Phone (786) 596-4100
20997 Old Cutler Rd
Cutler Bay, FL 33189-2469
Phone (786) 595-1780
8750 SW 144TH St
Miami, FL 33176-7229
Phone (786) 596-3840
8840 Bird Rd
Suite 100
Miami, FL 33165-5482
Phone (786) 596-3890
Hospital & facility affiliations
- Baptist Hospital of Miami
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 124313 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Physicians of Country Walk LLC | Current | Accepting new patients | |
| Urgent Care Physicians of Tamiami LLC | Current | Accepting new patients | |
| Urgent Care Physicians of Palmetto Bay LLC | Current | Accepting new patients | |
| Equality Mental Center Inc | Current | Accepting new patients | |
| Urgent Care Physicians of Westchester LLC | Current | Accepting new patients | |
| Urgent Care Physicians of Cutler Bay, LLC | Current | Accepting new patients | |
| Urgent Care Physicians of West Kendall LLC | Current | Accepting new patients |
Locations
6264 W Sample Rd
Coral Springs, FL 33067
Phone (954) 837-1010
20997 Old Cutler Rd
Cutler Bay, FL 33189
Phone (786) 595-1780
9130 S Dadeland Blvd
Ste 1202
Miami, FL 33156
Phone (330) 317-1594
13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4300
14661 SW 56th St
Miami, FL 33175
Phone (786) 457-5261
13001 SW 88th St
Miami, FL 33186
Phone (786) 596-3800
8840 SW 40th St
Ste 100
Miami, FL 33165
Phone (786) 596-3890
14660 SW 8th St
#100
Miami, FL 33184
Phone (786) 596-4100
5803 NW 151st St
Ste 200B
Miami Lakes, FL 33014
Phone (305) 402-4793
8750 SW 144th St
Palmetto Bay, FL 33176
Phone (786) 596-3840
11805 S Dixie Hwy
Pinecrest, FL 33156
Phone (786) 467-5200
Interoperability endpoints
- sjcndiegue@yourcarecommunity.org
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 and National Provider Directory roles.
-
- General Practice Physician
- Cutler Bay, FL
- NPI 1356163638
FL
-
- General Practice Physician
- Palmetto Bay, FL
- NPI 1740403914
FL
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": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1669737953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 W CALUSA CLUB DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861512",
"telephone_number": "786-599-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SW 62ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009",
"telephone_number": "786-599-3419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEGUEZ SANTIESTEBAN",
"first_name": "NIYASDEEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 124313",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME124313",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373797731",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ME124313",
"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 Mar 7, 2023; 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.