Individual provider Active NPI

Mario Luis Nunez, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1699735258
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0088619 Issued in FL
Practice address
9555 SW 162ND Ave
Miami, FL 33196-6408
Phone
(305) 596-9800
Fax
(305) 596-9808
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 ME0088619 FL
Internal Medicine Physician 207R00000X ME0088619 FL Primary

Addresses

Primary practice location

9555 SW 162ND Ave
Miami, FL 33196-6408

Mailing address

9555 SW 162ND Ave
Miami, FL 33196-6408
Phone (305) 596-9800

Other practice location 1

9075 SW 87th Ave Ste 414
Miami, FL 33176-2308
Phone (305) 596-9800

Other identifiers 2

IdentifierTypeStateIssuer
268325300MedicaidFL
82468OtherFLBCBS

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
I20040109000311 FL Practitioner - Internal Medicine 3779483581 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
81.9
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0088619FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Physicians of Country Walk LLC Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Urgent Care Physicians of Palmetto Bay LLC Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
South Miami Criticare Inc. Emergency Medicine CurrentSince Jun 21, 2017 Accepting new patients
Homesteadmed PA Emergency Medicine Past Accepting new patients
Mario L Nunez M D P a Internal Medicine PastSince Jan 26, 2007 Accepting new patients

Locations

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4300

8840 SW 40th St
Ste 100
Miami, FL 33165
Phone (786) 596-3890

8750 SW 144th St
Palmetto Bay, FL 33176
Phone (786) 596-3840

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Organizations & group practices 5

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1699735258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 SW 162ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966408",
            "telephone_number": "305-596-9800",
            "fax_number": "305-596-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW 162ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966408",
            "telephone_number": "305-596-9800",
            "fax_number": "305-596-9808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9075 SW 87th Ave Ste 414",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762308",
            "country_code": "US",
            "telephone_number": "305-596-9800",
            "fax_number": "305-596-9808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "MARIO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0088619",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0088619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268325300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82468",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.