Individual provider Active NPI

Moises Mitrani, M.D.

  • Otolaryngology Physician
  • Aventura, FL
National Provider Identifier
1730189135
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME49728 Issued in FL
Practice address
21150 Biscayne Blvd
# 102
Aventura, FL 33180-1226
Phone
(305) 935-6000
Fax
(305) 935-6248
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME49728 FL Primary

Addresses

Primary practice location

21150 Biscayne Blvd
# 102
Aventura, FL 33180-1226

Mailing address

15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724

Other identifiers 1

IdentifierTypeStateIssuer
005528400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address moisesmitrani@sfa.allscriptsdirect.net South Florida ENT Associates, Inc.

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
I20100901000942 FL Practitioner - Otolaryngology 3971627654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida ENT Associates IncGroup PAC ID 4587556923, 156 clinicians

Practice addresses (Care Compare)

21150 Biscayne Blvd
Suite 102
Aventura, FL 33180-1231
Phone (305) 935-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.4 of 100Reported as group
Quality
47.82
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Associates, Inc. Otolaryngology CurrentSince Jan 1, 2002 Accepting new patients
Florida ENT Associates, Inc. Otolaryngology PastSince Jan 17, 2022 Accepting new patients

Locations

7100 W 20th Ave
Ste 315
Hialeah, FL 33016
Phone (305) 557-6201

7100 W 20th Ave
Ste 404
Hialeah, FL 33016
Phone (305) 362-8180

21150 Biscayne Blvd
Ste 102
Miami, FL 33180
Phone (305) 933-3395

8940 N Kendall Dr
Ste 504E
Miami, FL 33176
Phone (305) 595-6200

15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016

8181 NW 154th St
Ste 200
Miami Lakes, FL 33016
Phone (225) 298-3537

18501 Pines Blvd
Ste 210
Pembroke Pines, FL 33029
Phone (954) 237-2505

17913 NW 7th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 431-8281

Interoperability endpoints

  • Direct secure messaging: moisesmitrani@sfa.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1730189135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 NW 79TH CT STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165873",
            "telephone_number": "305-558-3724",
            "fax_number": "786-907-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 BISCAYNE BLVD",
            "address_2": "# 102",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801226",
            "telephone_number": "305-935-6000",
            "fax_number": "305-935-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITRANI",
        "first_name": "MOISES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME49728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005528400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "moisesmitrani@sfa.allscriptsdirect.net",
            "affiliation": "Y",
            "affiliationName": "South Florida ENT Associates, Inc.",
            "address_1": "21150 Biscayne Blvd",
            "address_2": "# 102",
            "city": "Aventura",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331801226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.