Organization Active NPI

Salomon Mitrani-Sevy MD PA

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1861701443
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0066969 Issued in FL
Legal business name
SALOMON MITRANI-SEVY MD PA
Practice address
9829 SW 40TH St
Miami, FL 33165-3993
Phone
(305) 551-6666
Fax
(305) 551-1900
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Authorized official

Name
Salomon Mitrani-Sevy, M.D.NPI 1639124563
Title
Medical Doctor
Phone
(305) 551-6666

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME0066969 FL Primary

Addresses

Primary practice location

9829 SW 40TH St
Miami, FL 33165-3993

Mailing address

9829 SW 40TH St
Miami, FL 33165-3993
Phone (305) 551-6666

Other identifiers 1

IdentifierTypeStateIssuer
376686100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110426000651 FL Part B Supplier - Clinic/Group Practice 1850576406 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL; Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0992901Salomon Mitrani Sevy MD9829 SW 40TH St, Miami, FL 33165Certificate of waiverAug 26, 2026

National Provider Directory

National Provider Directory

Locations

1435 W 49th Pl
Ste 300
Hialeah, FL 33012
Phone (305) 819-2550

9829 SW 40th St
Miami, FL 33165
Phone (305) 551-6666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1861701443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9829 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653993",
            "telephone_number": "305-551-6666",
            "fax_number": "305-551-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9829 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653993",
            "telephone_number": "305-551-6666",
            "fax_number": "305-551-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALOMON MITRANI-SEVY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "MITRANI-SEVY",
        "authorized_official_first_name": "SALOMON",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "305-551-6666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0066969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376686100",
            "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 Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.