Individual provider Active NPI

Andrew Idowu, M.D. MBA

  • Anesthesiology Physician
  • Miami, FL
National Provider Identifier
1831482033
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME122495 Issued in FL
Practice address
1611 NW 12TH Ave
Miami, FL 33136-1005
Phone
(314) 443-5722
NPI assigned
May 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X ME122495 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
Miami, FL 33136-1005
Phone (314) 443-5722

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
I20150702001718 FL Practitioner - Anesthesiology 8325350473 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME122495FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Sep 9, 2015 Accepting new patients
University of Miami Current Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
Aoi Anesthesia LLC Anesthesiology Current Accepting new patients
Anesthesia Group of Miami Inc Anesthesiology CurrentSince Mar 19, 2017 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Sep 9, 2015 Accepting new patients
Miami Anesthesia Services LLC Anesthesiology CurrentSince Jun 1, 2017 Accepting new patients

Locations

2550 S Douglas Rd
Ste 302
Coral Gables, FL 33134
Phone (305) 343-5049

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1611 NW 12th Ave
#300
Miami, FL 33136
Phone (305) 585-6970

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

Interoperability endpoints

  • Direct secure messaging: aidowu32491@direct.med.miami.edu

Organizations & group practices 8

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": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1831482033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "314-443-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "314-443-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDOWU",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D. MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-20",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME122495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.