Individual provider Active NPI

Misha Denham, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Coral Gables, FL
National Provider Identifier
1689659096
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
OS9157 Issued in FL
Practice address
2695 S Le Jeune Rd
Suite 203
Coral Gables, FL 33134-5839
Phone
(305) 672-8559
Fax
(305) 672-9259
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X OS9157 FL Primary

Addresses

Primary practice location

2695 S Le Jeune Rd
Suite 203
Coral Gables, FL 33134-5839

Mailing address

2695 S Le Jeune Rd
Suite 203
Coral Gables, FL 33134-5839
Phone (305) 672-8559

Other identifiers 1

IdentifierTypeStateIssuer
003734400MedicaidFL

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
I20071204000269 FL Practitioner - Endocrinology 7810086535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Misha Denham DO PAGroup PAC ID 3375728769, 2 clinicians

Practice addresses (Care Compare)

2695 S Le Jeune Rd
Suite 203
Coral Gables, FL 33134-5840
Phone (305) 672-8559

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Misha Denham, DO PA Endocrinology, Diabetes & Metabolism CurrentSince Mar 19, 2011 Accepting new patients

Locations

2695 S Le Jeune Rd
Ste 203
Miami, FL 33134
Phone (305) 672-8559

Interoperability endpoints

  • Direct secure messaging: mdenham@md-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1689659096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 S LE JEUNE RD",
            "address_2": "SUITE 203",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345839",
            "telephone_number": "305-672-8559",
            "fax_number": "305-672-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 S LE JEUNE RD",
            "address_2": "SUITE 203",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345839",
            "telephone_number": "305-672-8559",
            "fax_number": "305-672-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENHAM",
        "first_name": "MISHA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "OS9157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003734400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.