Individual provider Active NPI

Makandall Saint Eloi, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1679937817
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME134172 Issued in FL
Practice address
2445 NW 62ND St
Miami, FL 33147-7740
Phone
(305) 585-9200
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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 ME134172 FL Primary

Addresses

Primary practice location

2445 NW 62ND St
Miami, FL 33147-7740

Mailing address

2445 NW 62ND St
Miami, FL 33147-7740
Phone (305) 585-9200

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
I20181005001662 FL Practitioner - Family Practice 2365794187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Florida State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chen Neighborhood Medical Centers of South Florida, LLCGroup PAC ID 2860623436, 37 clinicians
Public Health Trust of Miami Dade County FloridaGroup PAC ID 8628981925, 56 clinicians

Practice addresses (Care Compare)

1190 NE 125TH St
North Miami, FL 33161-5020
Phone (305) 891-7500

13707 SW 152 St
Uhealth Jackson Urgent Care Country Walk
Miami, FL 33177-1106
Phone (305) 585-9200

20801 NW 2ND Ave
Miami Gardens, FL 33169-2103
Phone (305) 653-1770

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida CurrentSince Nov 1, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients

Locations

18910 S Dixie Hwy
Cutler Bay, FL 33157
Phone (305) 585-9230

13707 SW 152nd St
Miami, FL 33177
Phone (305) 585-9200

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": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1679937817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331477740",
            "telephone_number": "305-585-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331477740",
            "telephone_number": "305-585-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT ELOI",
        "first_name": "MAKANDALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME134172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.