Active NPI
Edisson 'Xavier' Vega-Cordova, M.D.
- Otolaryngology Physician
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME134284
- Practice address
- 7100 W 20TH Ave Ste 608
Hialeah, FL 33016-1824 - Phone
- (305) 557-4016
- Fax
- (305) 828-0670
- NPI assigned
- Aug 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 125-053608 | IL | |
| Otolaryngology Physician | 207Y00000X | 45642 | AZ | |
| Otolaryngology Physician | 207Y00000X | ME134284 | FL | Primary |
Addresses
Primary practice location
7100 W 20TH Ave Ste 608
Hialeah, FL 33016-1824
Mailing address
15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | edissonxaviervega-cordova@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7100 W 20TH Ave
Suite 608
Hialeah, FL 33016-1824
Phone (305) 557-4016
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.4 of 100
- Quality
- 47.82
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME134284 | FL | MD | Otolaryngology Physician |
| 125-053608 | IL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida ENT Associates, Inc. | Otolaryngology | Current | Accepting new patients |
| Florida ENT Associates, Inc. | Otolaryngology | Past | Accepting new patients |
Locations
7100 W 20th Ave
Ste 404
Hialeah, FL 33016
Phone (305) 362-8180
7100 W 20th Ave
Ste 608
Hialeah, FL 33016
Phone (305) 557-4016
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
Interoperability endpoints
- edissonxaviervega-cordova@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.
-
- Otolaryngology Physician
- West Miami, FL
- NPI 1184625733
-
- Otolaryngology Physician
- Hialeah, FL
- NPI 1902567456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1750574190",
"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": "7100 W 20TH AVE STE 608",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161824",
"telephone_number": "305-557-4016",
"fax_number": "305-828-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA-CORDOVA",
"first_name": "EDISSON 'XAVIER'",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-20",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "125-053608",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AZ",
"license": "45642",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME134284",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "edissonxaviervega-cordova@sfa.allscriptsdirect.net",
"affiliation": "Y",
"affiliationName": "South Florida ENT Associates, Inc.",
"address_1": "7100 W 20th Ave Ste 608",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330161824",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.