Active NPI
Beena Wycliffe, M.D.
- Emergency Medicine Physician
- Homestead, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME168525
- Practice address
- 975 Baptist Way
Homestead, FL 33033-7600 - Phone
- (786) 243-8000
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A82400 | CA | |
| Emergency Medicine Physician | 207P00000X | ME168525 | FL | Primary |
Addresses
Primary practice location
975 Baptist Way
Homestead, FL 33033-7600
Mailing address
975 Baptist Way
Homestead, FL 33033-7600
Phone (786) 243-8510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME168525 | Medicaid | FL | |
| 00A824000 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
975 Baptist Way
Homestead Hospital
Homestead, FL 33033-7600
Phone (786) 243-8000
Hospital & facility affiliations
- Homestead Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A82400 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Team Physicians of Northern California Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
Locations
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015
651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370
975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
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.
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1649692716
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Homestead, FL
- NPI 1578547865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1770538662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 BAPTIST WAY",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330337600",
"telephone_number": "786-243-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 BAPTIST WAY",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330337600",
"telephone_number": "786-243-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYCLIFFE",
"first_name": "BEENA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A82400",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME168525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ME168525",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A824000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.