Individual provider Active NPI

Javier Sobrado, M.D.

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1689636391
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0056369 Issued in FL
Practice address
8525 SW 92ND St
Suite D-17
Miami, FL 33156-7365
Phone
(305) 270-0402
Fax
(305) 595-6179
NPI assigned
Apr 6, 2006
Last updated
Feb 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0056369 FL Primary

Addresses

Primary practice location

8525 SW 92ND St
Suite D-17
Miami, FL 33156-7365

Mailing address

8525 SW 92ND St
Suite D-17
Miami, FL 33156-7365
Phone (305) 270-0402

Other identifiers 1

IdentifierTypeStateIssuer
038501800MedicaidFL

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
I20040323001243 FL Practitioner - Gastroenterology 0143111674 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Gastro Group LLC Gastroenterology CurrentSince Jul 2, 2025 Accepting new patients
Hope Health Services Inc Past Accepting new patients
Pelican Anesthesia LLC PastSince Jun 1, 2012 Accepting new patients
Centro Medico of Sweetwater Past Accepting new patients

Locations

11420 N Kendall Dr
Ste 207
Miami, FL 33176
Phone (786) 715-9183

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1689636391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 SW 92ND ST",
            "address_2": "SUITE D-17",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567365",
            "telephone_number": "305-270-0402",
            "fax_number": "305-595-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 SW 92ND ST",
            "address_2": "SUITE D-17",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567365",
            "telephone_number": "305-270-0402",
            "fax_number": "305-595-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBRADO",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0056369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038501800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.