Active NPI
Mark Zhuk, M.D.
- General Practice Physician
- Miami Beach, FL
National Provider Identifier
1790031490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME79113
- 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, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME79113 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.