Active NPI
Serman Luis Ojeda Gil, MD
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1679874655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME114961
- Practice address
- 1490 NW 27TH Ave
Suite 130
Miami, FL 33125-2157 - Phone
- (305) 635-7710
- Fax
- (305) 637-8122
- NPI assigned
- Nov 8, 2010
- Last updated
- Jan 21, 2021
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME114961 | FL | Primary |
Addresses
Primary practice location
1490 NW 27TH Ave
Suite 130
Miami, FL 33125-2157
Mailing address
1490 NW 27TH Ave
Suite 130
Miami, FL 33125-2157
Phone (305) 635-7710
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME114961 | Other | FL | MEDICAL LICENSE |
| 009127500 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | serman.ojedagil@cmg.eclinicaldirectplus.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME114961 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1679874655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 NW 27TH AVE",
"address_2": "SUITE 130",
"city": "MIAMI",
"state": "FL",
"postal_code": "331252157",
"telephone_number": "305-635-7710",
"fax_number": "305-637-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 NW 27TH AVE",
"address_2": "SUITE 130",
"city": "MIAMI",
"state": "FL",
"postal_code": "331252157",
"telephone_number": "305-635-7710",
"fax_number": "305-637-8122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJEDA GIL",
"first_name": "SERMAN",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-08",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME114961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME114961",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009127500",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "serman.ojedagil@cmg.eclinicaldirectplus.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "health information has changed",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "1490 NW 27th Ave",
"address_2": "Suite 130",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331252157",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.