Individual provider Active NPI

Reema Sadruddin

  • Neurology Physician
  • Miami, FL
National Provider Identifier
1730718073
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME170068 Issued in FL
Practice address
1150 NW 14TH St Ste 600
Miami, FL 33136-2137
Phone
(205) 975-0447
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME170068 FL Primary

Addresses

Primary practice location

1150 NW 14TH St Ste 600
Miami, FL 33136-2137

Mailing address

1150 NW 14TH St Ste 600
Miami, FL 33136-2137
Phone (205) 975-0447

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
I20250116000732 FL Practitioner - Neurology 7719301548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1150 NW 14TH St
Umhc SCCC
Miami, FL 33136-2137
Phone (305) 585-6683

Hospital & facility affiliations

  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME170068FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Neurology CurrentSince Nov 9, 2024 Accepting new patients
University of Miami CurrentSince Nov 9, 2024 Accepting new patients
University of Miami Current Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1150 NW 14th St
Miami, FL 33136
Phone (305) 243-6165

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1150 NW 14th St
Ste 600
Miami, FL 33136
Phone (205) 975-0447

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rsadruddin147625@direct.med.miami.edu

Organizations & group practices 3

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 1

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1730718073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST STE 600",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362137",
            "telephone_number": "205-975-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST STE 600",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362137",
            "telephone_number": "205-975-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADRUDDIN",
        "first_name": "REEMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME170068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.