Organization Active NPI

Digestive Diseases Services of South Florida P a

  • Gastroenterology Physician
  • Hialeah, FL
National Provider Identifier
1700074226
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME57104 Issued in FL
Legal business name
DIGESTIVE DISEASES SERVICES OF SOUTH FLORIDA P A
Practice address
777 E 25TH St
Suite 416
Hialeah, FL 33013-3825
Phone
(786) 493-1551
NPI assigned
Oct 10, 2007
Last updated
Oct 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Luis Nasiff, M.D.NPI 1508840430
Title
President
Phone
(786) 493-1551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME57104 FL Primary

Addresses

Primary practice location

777 E 25TH St
Suite 416
Hialeah, FL 33013-3825

Mailing address

5501 W 79TH St
Suite 400
Burbank, IL 60459-1784
Phone (773) 884-4523

Other identifiers 1

IdentifierTypeStateIssuer
ME57104OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080528000705 FL Part B Supplier - Clinic/Group Practice 2860562238 Receives reassigned benefits from 2 practitioners
Practice locations: Hialeah, FL; North Miami Beach, FL; Miami Lakes, FL; Miami, FL; Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

1435 W 49th Pl
Ste 200
Hialeah, FL 33012
Phone (305) 691-6108

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1700074226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W 79TH ST",
            "address_2": "SUITE 400",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591784",
            "telephone_number": "773-884-4523",
            "fax_number": "773-884-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 416",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133825",
            "telephone_number": "786-493-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASES SERVICES OF SOUTH FLORIDA P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "NASIFF",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-493-1551",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME57104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME57104",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.