Individual provider Active NPI

Brian Abaroa, NP

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1861856064
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG0116156 Issued in FL
Practice address
3661 S Miami Ave Ste 402
Miami, FL 33133-4230
Phone
(305) 856-7656
NPI assigned
Apr 13, 2016
Last updated
Apr 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG0116156 FL Primary

Addresses

Primary practice location

3661 S Miami Ave Ste 402
Miami, FL 33133-4230

Mailing address

850 Falcon Ave
Miami Springs, FL 33166-4316

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180416002656 FL Practitioner - Nurse Practitioner 3375806896 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7000

3663 S Miami Ave
Mercy Hospital
Miami, FL 33133-4253
Phone (305) 854-4400

747 Ponce de Leon Blvd
Suite 605
Coral Gables, FL 33134-2074
Phone (305) 445-4535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AG0116156FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians , LLC CurrentSince Aug 12, 2024 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Jun 15, 2023 Accepting new patients
Florida Kidney Physicians, LLC CurrentSince Aug 12, 2024 Accepting new patients
Dr Hassan Ali MD PA CurrentSince Oct 22, 2017 Accepting new patients

Locations

747 Ponce de Leon Blvd
Ste 605
Coral Gables, FL 33134
Phone (305) 444-6167

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

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

3661 S Miami Ave
Ste 402
Miami, FL 33133
Phone (305) 815-0055

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Interoperability endpoints

  • Direct secure messaging: brian.abaroa.1@15644.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1861856064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 FALCON AVE",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331664316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334230",
            "telephone_number": "305-856-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAROA",
        "first_name": "BRIAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "AG0116156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.