Individual provider Active NPI

Samira Habibnejad, MD

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1689621377
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME88214 Issued in FL
Practice address
4304 Alton Road
Lowenstein BLDG
Miami Beach, FL 33140
Phone
(305) 674-2430
Fax
(305) 674-2413
NPI assigned
May 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME88214 FL Primary

Addresses

Primary practice location

4304 Alton Road
Lowenstein BLDG
Miami Beach, FL 33140

Mailing address

4300 Alton Rd
Ascher BLDG, 2ND FL
Miami Beach, FL 33140-2800
Phone (305) 674-2430

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
I20031211000015 FL Practitioner - Internal Medicine 3173429073 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practices of MSMC, LLC Internal Medicine CurrentSince Oct 1, 2011 Accepting new patients
Mount Sinai Medical Center Internal Medicine Past Accepting new patients
Mount Sinai Mental Health LLC Past Accepting new patients
Mount Sinai Medical Center of Florida, Inc. Past Accepting new patients

Locations

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4300 Alton Rd
Bldg 2ND
Miami Beach, FL 33140
Phone (305) 674-3905

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

4306 Alton Rd
Ofc 2ND
Miami Beach, FL 33140

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689621377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "ASCHER BLDG, 2ND FL",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402800",
            "telephone_number": "305-674-2430",
            "fax_number": "305-674-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 ALTON ROAD",
            "address_2": "LOWENSTEIN BLDG",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "305-674-2430",
            "fax_number": "305-674-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIBNEJAD",
        "first_name": "SAMIRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.