Individual provider Active NPI

Maria A Mustelier, MD

  • Family Medicine Physician
  • North Miami, FL
National Provider Identifier
1679526354
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME91465 Issued in FL
Practice address
527 NE 124TH St
North Miami, FL 33161-5423
Phone
(305) 891-0045
Fax
(305) 891-3175
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME91465 FL Primary

Addresses

Primary practice location

527 NE 124TH St
North Miami, FL 33161-5423

Mailing address

790 NE 121St St
Biscayne Park, FL 33161-6363
Phone (305) 891-0045

Other identifiers 1

IdentifierTypeStateIssuer
266366001MedicaidFL

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
I20040520000371 FL Practitioner - General Practice 7719978659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gilbert Leung MD PAGroup PAC ID 1456438530, 4 clinicians

Practice addresses (Care Compare)

888 NE 126 St
Suite 101
North Miami, FL 33161-4964
Phone (305) 899-1406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME91465FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert Leung MD PA CurrentSince Jun 2, 2012 Accepting new patients
Finlay Medical Practice Inc PastSince Mar 12, 2004 Accepting new patients
American Group Rehabilitation Center Past Accepting new patients

Locations

888 NE 126th St
Ste 101
North Miami, FL 33161
Phone (305) 899-1406

16260 NE 13th Ave
North Miami Beach, FL 33162
Phone (305) 944-1122

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679526354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 NE 121ST ST",
            "city": "BISCAYNE PARK",
            "state": "FL",
            "postal_code": "331616363",
            "telephone_number": "305-891-0045",
            "fax_number": "305-891-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 NE 124TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615423",
            "telephone_number": "305-891-0045",
            "fax_number": "305-891-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTELIER",
        "first_name": "MARIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME91465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266366001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.