Individual provider Active NPI

Sadegh Amini Koves, M.D.

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1669796629
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME123903 Issued in FL
Practice address
12600 SW 120TH Street
S. 107
Miami, FL 33186
Phone
(305) 969-6954
Fax
(954) 424-7093
NPI assigned
Mar 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME123903 FL Primary

Addresses

Primary practice location

12600 SW 120TH Street
S. 107
Miami, FL 33186

Mailing address

6902 NW 112TH Ave
Doral, FL 33178-3727
Phone (786) 443-3183

Other practice location 1

3661 S Miami Ave Ste 1005
Miami, FL 33133-4214
Phone (305) 856-7887

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
I20151201002015 FL Practitioner - Dermatology 9032419866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Cancer AssociatesGroup PAC ID 1759284847, 65 clinicians

Practice addresses (Care Compare)

4308 Alton Rd
Suite 510
Miami Beach, FL 33140-4557
Phone (305) 674-8865

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision52
Removal of skin lesions163
Removal of nail tissue1-10
Skin biopsy98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME123903FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Associates Dermatology CurrentSince Apr 1, 2019 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Locations

2999 NE 191st St
Ph 1
Aventura, FL 33180
Phone (305) 405-6910

13660 S Jog Rd
Ste 8
Delray Beach, FL 33446
Phone (561) 637-4040

2925 NE 199th St
Ste 205
Miami, FL 33180
Phone (305) 933-6716

7800 SW 87th Ave
Ste 300
Miami, FL 33173
Phone (305) 273-4430

12600 SW 120th St
Ste 107
Miami, FL 33186
Phone (305) 596-0020

4308 Alton Rd
Ste 510
Miami Beach, FL 33140
Phone (305) 674-7075

201 NW 82nd Ave
Ste 501
Plantation, FL 33324
Phone (954) 473-6750

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1669796629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 NW 112TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783727",
            "telephone_number": "786-443-3183",
            "fax_number": "786-272-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 SW 120TH STREET",
            "address_2": "S. 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "305-969-6954",
            "fax_number": "954-424-7093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3661 S Miami Ave Ste 1005",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334214",
            "country_code": "US",
            "telephone_number": "305-856-7887",
            "fax_number": "305-856-0805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMINI KOVES",
        "first_name": "SADEGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME123903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.