Individual provider Active NPI

Aaron Bernard Tuckler, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1760771000
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME109419 Issued in FL
Practice address
9570 SW 107TH Ave
Suite C- 204
Miami, FL 33176-2788
Phone
(305) 598-6464
Fax
(305) 598-6443
NPI assigned
Apr 6, 2011
Last updated
Apr 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME109419 FL Primary

Addresses

Primary practice location

9570 SW 107TH Ave
Suite C- 204
Miami, FL 33176-2788

Mailing address

9570 SW 107TH Ave
Suite C- 204
Miami, FL 33176-2788
Phone (305) 598-6464

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
I20120731000448 FL Practitioner - Family PracticePractitioner - General PracticePractitioner - Cardiovascular Disease (Cardiology) 1658537964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9570 SW 107 Avenue C
Suite 204
Miami, FL 33176-2788
Phone (305) 598-6464

9570 SW 107TH Ave
Suite C 204
Miami, FL 33176-2788

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron Bernard Tuckler MD PA CurrentSince Nov 1, 2011 Accepting new patients
Aaron Tuckler Mdpa Past Accepting new patients

Locations

9570 SW 107th Ave
Miami, FL 33176
Phone (305) 598-6464

9570 SW 107th Ave
Ste 204
Miami, FL 33176
Phone (305) 598-6464

9570 SW 107th Ave
Ste C204
Miami, FL 33176
Phone (305) 598-6464

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, 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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1760771000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 SW 107TH AVE",
            "address_2": "SUITE C- 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762788",
            "telephone_number": "305-598-6464",
            "fax_number": "305-598-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 SW 107TH AVE",
            "address_2": "SUITE C- 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762788",
            "telephone_number": "305-598-6464",
            "fax_number": "305-598-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKLER",
        "first_name": "AARON",
        "middle_name": "BERNARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME109419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.