NPIMap

Organization Active NPI

Nephrology Associates of South Miami PA

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1811943434
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES OF SOUTH MIAMI PA
Practice address
9193 Sunset Dr
Suite 200
Miami, FL 33173-3487
Phone
(305) 273-9377
Fax
(305) 273-9388
NPI assigned
May 25, 2006
Last updated
Jul 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Authorized official

Name
Jorge C Busse, MDNPI 1922091248
Title
President
Phone
(305) 273-9377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

9193 Sunset Dr
Suite 200
Miami, FL 33173-3487

Mailing address

9193 Sunset Dr
Suite 200
Miami, FL 33173-3487
Phone (305) 273-9377

Other identifiers 13

IdentifierTypeStateIssuer
05712OtherFLBCBS
P00241477OtherFLRAILROAD MEDICARE
43805OtherFLBCBS
P00222398OtherFLRAILROAD MEDICARE
063809900OtherFLPSN
78626OtherFLBCBS
92155OtherFLBCBS
052511100OtherFLPSN
64370OtherFLBCBS
00859OtherFLBCBS
91824OtherFLBCBS
P00088820OtherFLRAILROAD MEDICARE
P00095463OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116000356 FL Part B Supplier - Clinic/Group Practice 9931000510 Receives reassigned benefits from 12 practitioners
Practice locations: Miami, FL; Palmetto Bay, FL; South Miami, FL; Homestead, FL; Key Largo, FL; Coral Gables, FL; Cutler Bay, FL; Doral, FL…

National Provider Directory

National Provider Directory

Locations

11090 SW 184th St
Cutler Bay, FL 33157
Phone (305) 259-1516

11251 NW 20th St
Unit 103
Miami, FL 33172
Phone (305) 273-9377

11251 NW 20th St
Unit 105
Miami, FL 33172
Phone (305) 716-8608

12000 SW 131st Ave
Miami, FL 33186
Phone (305) 254-4840

1494 NW 7th St
Miami, FL 33125
Phone (305) 631-4110

9193 Sunset Dr
Ste 200
Miami, FL 33173
Phone (305) 273-9377

9193 SW 72nd St
Ste 100
Miami, FL 33173
Phone (305) 279-2010

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11592/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1811943434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9193 SUNSET DR",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733487",
            "telephone_number": "305-273-9377",
            "fax_number": "305-273-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9193 SUNSET DR",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733487",
            "telephone_number": "305-273-9377",
            "fax_number": "305-273-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF SOUTH MIAMI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "BUSSE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-273-9377",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05712",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00241477",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "43805",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00222398",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSN",
            "identifier": "063809900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "78626",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "92155",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSN",
            "identifier": "052511100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "64370",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00859",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "91824",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00088820",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00095463",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.