Individual provider Active NPI

Mark Zhuk, M.D.

  • General Practice Physician
  • Miami Beach, FL
National Provider Identifier
1790031490
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME79113 Issued in FL
Practice address
405 N Hibiscus Dr
Unit 207
Miami Beach, FL 33139-5169
Phone
(305) 799-5133
NPI assigned
Jul 31, 2012
Last updated
Mar 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME79113 FL Primary

Addresses

Primary practice location

405 N Hibiscus Dr
Unit 207
Miami Beach, FL 33139-5169

Mailing address

2925 Aventura Blvd
Suite 100
Aventura, FL 33180-3124
Phone (305) 692-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 21, 2019 through Jun 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME79113FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Imaging, LLC 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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1790031490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 AVENTURA BLVD",
            "address_2": "SUITE 100",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803124",
            "telephone_number": "305-692-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N HIBISCUS DR",
            "address_2": "UNIT 207",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331395169",
            "telephone_number": "305-799-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHUK",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME79113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.