Individual provider Active NPI

Edgar Arturo Batista, MD

  • Ophthalmology Physician
  • Doral, FL
National Provider Identifier
1891712808
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 89120 Issued in FL
Practice address
7950 NW 53Rd St Ste 108
Doral, FL 33166-4681
Phone
(305) 499-4200
Fax
(855) 420-6315
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME 89120 FL Primary

Addresses

Primary practice location

7950 NW 53Rd St Ste 108
Doral, FL 33166-4681

Mailing address

7950 NW 53Rd St Ste 108
Doral, FL 33166-4681
Phone (305) 499-4200

Other identifiers 1

IdentifierTypeStateIssuer
268968500MedicaidFL

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
I20040719001631 FL Practitioner - Ophthalmology 9638158926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7950 NW 53Rd St
Suite 108
Doral, FL 33166-4681
Phone (305) 499-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 89120FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edgar a Batista MD PA CurrentSince Feb 1, 2007 Accepting new patients
Miami Lakes Eye Care Center PA Ophthalmology PastSince Sep 16, 2003 Accepting new patients

Locations

7950 NW 53rd St
Ste 108
Miami, FL 33166
Phone (305) 499-4200

Organizations & group practices 2

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1891712808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 NW 53RD ST STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664681",
            "telephone_number": "305-499-4200",
            "fax_number": "855-420-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 NW 53RD ST STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664681",
            "telephone_number": "305-499-4200",
            "fax_number": "855-420-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATISTA",
        "first_name": "EDGAR",
        "middle_name": "ARTURO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 89120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268968500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.