Individual provider Active NPI

Dugald S Macintyre, MD

  • Infectious Disease Physician
  • Miami, FL
National Provider Identifier
1740361047
Registry record updated Jun 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0022853 Issued in FL
Practice address
182 Shore Dr S
Miami, FL 33133-2616
Phone
(305) 854-4357
Fax
(305) 854-3632
NPI assigned
Oct 17, 2006
Last updated
Jun 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2024

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 ME0022853 FL Primary

Addresses

Primary practice location

182 Shore Dr S
Miami, FL 33133-2616

Mailing address

182 Shore Dr S
Miami, FL 33133-2616
Phone (305) 854-4357

Other identifiers 4

IdentifierTypeStateIssuer
055862100MedicaidFL
92233OtherFLBC/BS
P 00058509OtherFLMEDICARE RR
59274OtherFLAVMED

Other names 1

  • Dugald Stewart Macintyre Jr. Other name

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
I20040428000142 FL Practitioner - Infectious Disease 3577550946 Practice locations: Miami, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0022853FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ann T Macintyre DO LLC Infectious Disease Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719100800000",
    "number": "1740361047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SHORE DR S",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332616",
            "telephone_number": "305-854-4357",
            "fax_number": "305-854-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SHORE DR S",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332616",
            "telephone_number": "305-854-4357",
            "fax_number": "305-854-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACINTYRE",
        "first_name": "DUGALD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0022853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055862100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "92233",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P 00058509",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "59274",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUGALD",
            "last_name": "MACINTYRE",
            "middle_name": "STEWART",
            "suffix": "JR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.