Individual provider Active NPI

Maricela M Tassy, D.O.

  • Emergency Medicine Physician
  • Miami, FL
National Provider Identifier
1689801326
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101018338 Issued in MI
Practice address
8801 SW 136TH St
Miami, FL 33176-5816
Phone
(305) 542-9778
NPI assigned
Jun 21, 2009
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS12206 FL
Emergency Medicine Physician 207P00000X 5101018338 MI Primary

Addresses

Primary practice location

8801 SW 136TH St
Miami, FL 33176-5816

Mailing address

10341 SW 141St St
Miami, FL 33176-7007
Phone (305) 542-9778

Other practice location 1

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (305) 542-9778

Other practice location 2

8801 SW 136th St
Miami, FL 33176-5816
Phone (305) 542-9778

Other practice location 3

10341 SW 141st St
Miami, FL 33176-7007
Phone (305) 542-9778

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
I20131014001821 FL Practitioner - Emergency Medicine 3375709462 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Emergency Physician Services of South Dade, IncGroup PAC ID 6305849449, 41 clinicians

Practice addresses (Care Compare)

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12206FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Emergency Services of Miami Beach PA Emergency Medicine Current Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jul 17, 2014 Accepting new patients
Sheridan Emergency Physician Services of South Dade Inc Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Sterling Emergency Services of Miami Beach PA Emergency Medicine CurrentSince Jun 17, 2014 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Warren Urgent Care PC PastSince Oct 22, 2023 Accepting new patients
FL-I Medical Services, LLC Past Accepting new patients
Southgate Urgent Care PC PastSince Oct 22, 2023 Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

Interoperability endpoints

  • Direct secure messaging: mjennings37355@direct.med.miami.edu

Organizations & group practices 8

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.

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": "1245542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1689801326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10341 SW 141ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767007",
            "telephone_number": "305-542-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 SW 136TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331765816",
            "telephone_number": "305-542-9778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242701",
            "country_code": "US",
            "telephone_number": "305-542-9778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8801 SW 136th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331765816",
            "country_code": "US",
            "telephone_number": "305-542-9778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10341 SW 141st St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331767007",
            "country_code": "US",
            "telephone_number": "305-542-9778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TASSY",
        "first_name": "MARICELA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-21",
        "last_updated": "2024-10-01",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS12206",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101018338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.