Active NPI
Sadegh Amini Koves, M.D.
- Dermatology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME123903
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4308 Alton Rd
Suite 510
Miami Beach, FL 33140-4557
Phone (305) 674-8865
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 52 |
| Removal of skin lesions | 163 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 98 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME123903 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin and Cancer Associates | Dermatology | Current | Accepting new patients |
| Skin and Cancer Associates | Dermatology | Past | 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
- 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.
-
- Dermatology Physician
- Plantation, FL
- NPI 1427017292
-
- Dermatology Physician
- Plantation, FL
- NPI 1740737576
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.