Individual provider Active NPI

Durim Bozhdaraj, M.D.

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1750791281
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME133109 Issued in FL
Practice address
1695 NW 9TH Ave
Miami, FL 33136-1409
Phone
(305) 355-1111
NPI assigned
May 6, 2014
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X ME133109 FL Primary
General Practice Physician 208D00000X ME133109 FL

Addresses

Primary practice location

1695 NW 9TH Ave
Miami, FL 33136-1409

Mailing address

1695 NW 9TH Ave
Miami, FL 33136-1409
Phone (305) 355-1111

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
I20190517000200 FL Practitioner - PsychiatryPractitioner - Neurology 5294078143 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Michigan State University College of Human Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

975 Arthur Godfrey Rd
Suite 305
Miami Beach, FL 33140-3350
Phone (786) 321-2931

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME133109FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Mar 23, 2019 Accepting new patients
Public Health Trust of Miami Dade County Florida General Practice CurrentSince Mar 23, 2019 Accepting new patients
Miami Beach TMS PLLC Psychiatry CurrentSince Sep 1, 2022 Accepting new patients
Public Health Trust of Miami Dade County Florida General Practice CurrentSince Mar 23, 2019 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Mar 23, 2019 Accepting new patients
Public Health Trust of Miami Dade County Florida General Practice CurrentSince Mar 23, 2019 Accepting new patients
QMC LLC Past Accepting new patients
University of Miami PastSince Sep 1, 2019 Accepting new patients

Locations

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

1695 NW 9th Ave
Miami, FL 33136
Phone (305) 355-7147

1695 NW 9th Ave
Ste 3100
Miami, FL 33136
Phone (305) 243-6400

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

975 Arthur Godfrey Rd
Ste 305
Miami Beach, FL 33140
Phone (786) 321-2931

15055 NW 27th Ave
Opa Locka, FL 33054
Phone (786) 466-2701

20201 NW 37th Ave
Opa Locka, FL 33056
Phone (786) 466-2700

Organizations & group practices 9

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1750791281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 NW 9TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361409",
            "telephone_number": "305-355-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 NW 9TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361409",
            "telephone_number": "305-355-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZHDARAJ",
        "first_name": "DURIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME133109",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME133109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.