Active NPI
Digestive Diseases Services of South Florida P a
- Gastroenterology Physician
- Hialeah, FL
National Provider Identifier
1700074226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME57104
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luis Nasiff, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME57104 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gastroenterology Physician
- Hialeah, FL
- NPI 1508840430
-
- Family Nurse Practitioner
- Palmetto Bay, FL
- NPI 1194205120
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.