Individual provider Active NPI

Ehab Latif, DPM

  • Podiatrist
  • Miami, FL
National Provider Identifier
1891053096
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3543 Issued in FL
Practice address
13550 SW 88TH Street
Suite 280
Miami, FL 33186-1513
Phone
(954) 398-0093
Fax
(954) 999-1282
NPI assigned
Apr 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3543 FL Primary

Addresses

Primary practice location

13550 SW 88TH Street
Suite 280
Miami, FL 33186-1513

Mailing address

13137 SW 21St St
Miramar, FL 33027-2666
Phone (201) 680-9651

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130501000155 FL Practitioner - Podiatry 6002053550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13550 SW 88TH St
Suite 280
Miami, FL 33186-1513
Phone (954) 398-0093

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3543FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ehab Latif DPM PA CurrentSince Feb 18, 2013 Accepting new patients
Gary D Small DPM Corp PastSince Feb 18, 2013 Accepting new patients
Mariaines Apolo PA PastSince Jun 1, 2006 Accepting new patients

Locations

19590 Old Cutler Rd
Cutler Bay, FL 33157
Phone (786) 466-3500

3850 Bird Rd
Ste 103B
Miami, FL 33146
Phone (305) 444-7114

13550 SW 88th St
Ste 280
Miami, FL 33186
Phone (305) 753-7350

Interoperability endpoints

  • Direct secure messaging: elatif@yourcarecommunity.org

Organizations & group practices 3

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": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1891053096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13137 SW 21ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272666",
            "telephone_number": "201-680-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 SW 88TH STREET",
            "address_2": "SUITE 280",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861513",
            "telephone_number": "954-398-0093",
            "fax_number": "954-999-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIF",
        "first_name": "EHAB",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.