Individual provider Active NPI

Nicholas Santiago Camps, D.O.

  • Infectious Disease Physician
  • Miami Beach, FL
National Provider Identifier
1720320955
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
OS13690 Issued in FL
Practice address
4302 Alton Rd Ste 670
Miami Beach, FL 33140
Phone
(305) 674-2766
NPI assigned
Mar 26, 2013
Last updated
Feb 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X OS13690 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 670
Miami Beach, FL 33140

Mailing address

4302 Alton Rd Ste 670
Miami Beach, FL 33140-2877
Phone (305) 674-2766

Other practice location 1

4302 Alton Rd Ste 670
Miami Beach, FL 33140
Phone (305) 674-2766

Other identifiers 1

IdentifierTypeStateIssuer
100308700MedicaidFL

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
I20190114002835 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 7911243894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midway Specialty Care Center IncGroup PAC ID 9638306087, 30 clinicians
Academic and Clinical Infectious Diseases PAGroup PAC ID 8729005962, 3 clinicians

Practice addresses (Care Compare)

356 E Midway Rd
Fort Pierce, FL 34982-7148
Phone (772) 464-9746

4300 Alton Rd
Miami, FL 33140-2948

4308 Alton Rd
Suite 860
Miami Beach, FL 33140-4558
Phone (305) 674-2766

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midway Specialty Care Center Inc Infectious Disease CurrentSince Jan 6, 2019 Accepting new patients
Academic & Clinical Infectious Diseases PA CurrentSince Jul 17, 2018 Accepting new patients

Locations

356 E Midway Rd
Fort Pierce, FL 34982
Phone (772) 464-9746

4302 Alton Rd
Ste 670
Miami Beach, FL 33140
Phone (305) 531-7671

4308 Alton Rd
Ste 860
Miami Beach, FL 33140
Phone (305) 604-2888

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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 2

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1720320955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 670",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402877",
            "telephone_number": "305-674-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 670",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "305-674-2766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4302 Alton Rd Ste 670",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "33140",
            "country_code": "US",
            "telephone_number": "305-674-2766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPS",
        "first_name": "NICHOLAS",
        "middle_name": "SANTIAGO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "OS13690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100308700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.