NPIMap

Individual provider Active NPI

Carlos Andres Granja, M.D

  • Nephrology Physician
  • South Miami, FL
National Provider Identifier
1811179997
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME115104 Issued in FL
Practice address
7900 SW 57TH Ave
Suite 21
South Miami, FL 33143-5522
Phone
(305) 662-3984
NPI assigned
Nov 30, 2007
Last updated
Feb 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME115104 FL Primary

Addresses

Primary practice location

7900 SW 57TH Ave
Suite 21
South Miami, FL 33143-5522

Mailing address

7900 SW 57TH Ave
Suite 21
South Miami, FL 33143-5522
Phone (305) 662-3984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130821000683 FL Practitioner - Nephrology 7416021340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Miami Kidney Group PLLCGroup PAC ID 4385725746, 13 clinicians

Practice addresses (Care Compare)

7900 SW 57TH Ave
Suite 21
South Miami, FL 33143-5546
Phone (305) 662-3984

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME115104FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Kidney Group PLLC Nephrology CurrentSince Jun 1, 2013 Accepting new patients

Locations

10850 SW 184th St
Cutler Bay, FL 33157
Phone (305) 232-5915

2876 NE 8th St
Homestead, FL 33033
Phone (305) 246-5043

7900 SW 57th Ave
Ste 21
South Miami, FL 33143
Phone (305) 662-3984

Interoperability endpoints

  • Direct secure messaging: carlos.granja.1@24546.direct.athenahealth.com
  • Direct secure messaging: cgranja74932@direct.acumenmd.com
  • FHIR API: https://api.platform.athenahealth.com/24546/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1811179997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 SW 57TH AVE",
            "address_2": "SUITE 21",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435522",
            "telephone_number": "305-662-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 SW 57TH AVE",
            "address_2": "SUITE 21",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435522",
            "telephone_number": "305-662-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANJA",
        "first_name": "CARLOS",
        "middle_name": "ANDRES",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME115104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.