Individual provider Active NPI

Ian J Morales, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Davie, FL
National Provider Identifier
1861471641
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME96539 Issued in FL
Practice address
10660 SW 44TH CT
Davie, FL 33328-2100
Phone
(954) 474-8579
NPI assigned
Jan 11, 2006
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME96539 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME96539 FL Primary
Pulmonary Disease Physician 207RP1001X ME96539 FL

Addresses

Primary practice location

10660 SW 44TH CT
Davie, FL 33328-2100

Mailing address

10660 SW 44TH CT
Davie, FL 33328-2100
Phone (954) 474-8579

Other identifiers 4

IdentifierTypeStateIssuer
277231100MedicaidFL
29255OtherFLBLUE CROSS BLUE SHIELD
P00405465OtherFLRAILROAD MEDICARE
N359270OtherFLWELLCARE

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
I20070322000037 FL Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 6305813734 Reassigns benefits to 1 organization
Practice locations: West Palm Beach, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96539FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Critical Care Services LLC Critical Care Medicine CurrentSince Jul 1, 2018 Accepting new patients
Intensive Care Consortium Inc Critical Care Medicine Past Accepting new patients
Highland Rim Respiratory Specialists Past Accepting new patients
Santa Rosa Hma Physician Management, LLC Internal Medicine Past Accepting new patients

Locations

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

8370 W Flagler St
Ste 226
Miami, FL 33144
Phone (305) 917-5414

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1861471641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 SW 44TH CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282100",
            "telephone_number": "954-474-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10660 SW 44TH CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282100",
            "telephone_number": "954-474-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "IAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME96539",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME96539",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME96539",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277231100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29255",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00405465",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "N359270",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.