NPIMap

Organization Active NPI

Homestead Urology at Keys

  • Urology Physician
  • Key Largo, FL
National Provider Identifier
1851013684
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
HOMESTEAD UROLOGY AT KEYS
Practice address
103400 Overseas Hwy
Key Largo, FL 33037-2834
Phone
(954) 854-9429
Fax
(954) 488-2176
NPI assigned
Sep 19, 2022
Last updated
Sep 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Donghua Xie, MD, PHDNPI 1649598715
Title
Owner
Phone
(954) 854-9429

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
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

103400 Overseas Hwy
Key Largo, FL 33037-2834

Mailing address

103400 Overseas Hwy
Key Largo, FL 33037-2834
Phone (954) 854-9429

Other identifiers 1

IdentifierTypeStateIssuer
020123800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Office Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1851013684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103400 OVERSEAS HWY",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372834",
            "telephone_number": "954-854-9429",
            "fax_number": "954-488-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103400 OVERSEAS HWY",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372834",
            "telephone_number": "954-854-9429",
            "fax_number": "954-488-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD UROLOGY AT KEYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-18",
        "status": "A",
        "authorized_official_last_name": "XIE",
        "authorized_official_first_name": "DONGHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-854-9429",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020123800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Office",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "103400 Overseas Hwy",
            "city": "Key Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330372834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.