Individual provider Active NPI

Janis Dzelzkalns, MD

  • Ophthalmology Physician
  • South Miami, FL
National Provider Identifier
1801895172
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0054394 Issued in FL
Practice address
5858 SW 68 St
South Miami, FL 33143-3693
Phone
(305) 661-8588
Fax
(305) 661-4906
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0054394 FL
Ophthalmology Physician 207W00000X 0054394 FL Primary

Addresses

Primary practice location

5858 SW 68 St
South Miami, FL 33143-3693

Mailing address

5858 SW 68 St
South Miami, FL 33143-5188
Phone (305) 661-2036

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
I20071212000553 FL Practitioner - Ophthalmology 3072582774 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0054394FLMDSpecialist
0054394FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A James Segal MD PA Medeyeassociates Ophthalmology CurrentSince Sep 1, 1998 Accepting new patients

Locations

8250 NW 27th St
Ste 311
Doral, FL 33122
Phone (305) 238-4901

9299 SW 152nd St
Ste 101
Palmetto Bay, FL 33157
Phone (305) 233-8043

5858 SW 68th St
South Miami, FL 33143
Phone (305) 357-1711

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1801895172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 SW 68 ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435188",
            "telephone_number": "305-661-2036",
            "fax_number": "305-661-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 SW 68 ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433693",
            "telephone_number": "305-661-8588",
            "fax_number": "305-661-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZELZKALNS",
        "first_name": "JANIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0054394",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "0054394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.