Individual provider Active NPI

Adam Yousuf Memon, DO

  • Emergency Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1790138279
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS.15887 Issued in FL
Practice address
4300 Alton Rd
Miami Beach, FL 33140-2948
Phone
(305) 674-2121
NPI assigned
Jul 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS.15887 FL Primary

Addresses

Primary practice location

4300 Alton Rd
Miami Beach, FL 33140-2948

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

2845 Aventura Blvd
Aventura, FL 33180-3118
Phone (305) 692-1000

Other practice location 2

6050 W 20th Ave
Hialeah, FL 33016-2605
Phone (786) 584-5000

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
I20190909003557 FL Practitioner - Emergency Medicine 8628307139 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergent Physicians of Country Walk LLCGroup PAC ID 4688916091, 33 clinicians
Emergent Physicians of West Dade, LLCGroup PAC ID 8921511353, 44 clinicians
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians
Sheridan Emergency Physician Services of South Dade, IncGroup PAC ID 6305849449, 41 clinicians

Practice addresses (Care Compare)

14150 SW 136TH St
Miami, FL 33186-5506
Phone (786) 204-4600

14591 SW 26TH St
Miami, FL 33175-8038
Phone (786) 888-8820

600 E Dixie Ave
Leesburg, FL 34748-5925
Phone (352) 323-5762

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (954) 939-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS.15887FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergent Physicians of Palmetto Bay, LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Emergent Physicians of Doral, LLC Emergency Medicine CurrentSince Jul 19, 2022 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jun 26, 2025 Accepting new patients
Sterling Emergency Services of Miami Beach PA Emergency Medicine CurrentSince Aug 5, 2019 Accepting new patients
Emergent Physicians of Country Walk, LLC Emergency Medicine CurrentSince Jul 19, 2022 Accepting new patients
Emergent Physicians of West Dade, LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Sterling Emergency Services of Miami Beach PA Emergency Medicine CurrentSince Aug 5, 2019 Accepting new patients
Sheridan Emergency Physician Services of South Dade Inc Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Emergent Physicians of Miami Lakes, LLC Emergency Medicine CurrentSince Mar 17, 2025 Accepting new patients

Locations

6050 W 20th Ave
Hialeah, FL 33016
Phone (786) 584-5000

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000

14591 SW 26th St
Miami, FL 33175
Phone (786) 204-4600

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

14100 SW 136th St
Miami, FL 33186
Phone (305) 204-4600

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

15200 NW 77th Ct
Miami Lakes, FL 33016
Phone (786) 595-1800

8750 SW 144th St
Ste 100
Palmetto Bay, FL 33176
Phone (305) 253-5585

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

200 Corporate Blvd
Lafayette, LA 70508

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1790138279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2845 Aventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331803118",
            "country_code": "US",
            "telephone_number": "305-692-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6050 W 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330162605",
            "country_code": "US",
            "telephone_number": "786-584-5000",
            "fax_number": "786-584-5112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEMON",
        "first_name": "ADAM",
        "middle_name": "YOUSUF",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS.15887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.