Individual provider Active NPI

Smith Joseph, D.O.

  • Internal Medicine Physician
  • North Miami, FL
National Provider Identifier
1851376552
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS8309 Issued in FL
Practice address
13377 W Dixie Hwy
North Miami, FL 33161-4134
Phone
(305) 893-8306
Fax
(305) 893-8354
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS8309 FL Primary

Addresses

Primary practice location

13377 W Dixie Hwy
North Miami, FL 33161-4134

Mailing address

13377 W Dixie Hwy
North Miami, FL 33161-4134
Phone (305) 893-8306

Other identifiers 1

IdentifierTypeStateIssuer
262244100MedicaidFL

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
I20100811001090 FL Practitioner - Internal Medicine 1153455209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS8309FLMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: testsmithj@direct.meditouchehr.com

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851376552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13377 W DIXIE HWY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614134",
            "telephone_number": "305-893-8306",
            "fax_number": "305-893-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13377 W DIXIE HWY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331614134",
            "telephone_number": "305-893-8306",
            "fax_number": "305-893-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262244100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.