Individual provider Active NPI

Hamada Albiesh, M.D.

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1790344034
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME155702 Issued in FL
Practice address
1611 NW 12 Avenue
Miami, FL 33136
Phone
(305) 585-5437
NPI assigned
Jun 11, 2019
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN29558 FL
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X ME155702 FL Primary

Addresses

Primary practice location

1611 NW 12 Avenue
Miami, FL 33136

Mailing address

1545 NW 15TH Street Rd Apt 1503
Miami, FL 33125
Phone (786) 604-5759

Other practice location 1

15507 NW 67th Ave
Miami Lakes, FL 33014-2108
Phone (305) 821-8611

Other identifiers 1

IdentifierTypeStateIssuer
115020000MedicaidFL

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
I20220804002036 FL Practitioner - Pediatric Medicine 0143602334 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN29558FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Community Health Center Inc CurrentSince Jul 28, 2022 Accepting new patients
Miami Beach Community Health Center Inc CurrentSince Jul 28, 2022 Accepting new patients
Phoenix Pediatrics of Broward LLC Pediatrics CurrentSince Apr 11, 2023 Accepting new patients
Phoenix Pediatrics of Broward LLC Pediatrics CurrentSince Apr 11, 2023 Accepting new patients
Community Health of South Florida, Inc. Past Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson Pediatrics Past Accepting new patients

Locations

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

710 Alton Rd
Miami Beach, FL 33139

11645 Biscayne Blvd
Ste 103
North Miami, FL 33181

11645 Biscayne Blvd
Ste 207
North Miami, FL 33181
Phone (704) 297-9229

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Interoperability endpoints

  • Direct secure messaging: hamada.albiesh.1@17796.direct.athenahealth.com

Organizations & group practices 6

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1790344034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 NW 15TH STREET RD APT 1503",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "786-604-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12 AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-585-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15507 NW 67th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142108",
            "country_code": "US",
            "telephone_number": "305-821-8611",
            "fax_number": "305-827-1753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBIESH",
        "first_name": "HAMADA",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN29558",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME155702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115020000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.