Active NPI
Alba Marina O' Bourke, MD.
- General Practice Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME90672
- Practice address
- 4155 SW 130TH Ave
#102
Miami, FL 33175-3414 - Phone
- (305) 223-3580
- Fax
- (305) 223-3582
- NPI assigned
- Jul 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME90672 | FL | Primary |
Addresses
Primary practice location
4155 SW 130TH Ave
#102
Miami, FL 33175-3414
Mailing address
1611 Coral Gate Dr
Miami, FL 33145-1837
Phone (305) 441-9362
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Miramar, FL 33027
Phone (877) 212-2267
Hospital & facility affiliations
- Caritas Home Health Care Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viviana Perez MD PA | General Practice | Current | Accepting new patients |
| Complete Care Management Services Aco LLC | Current | Accepting new patients | |
| Continental Health Network, Inc. | Past | Accepting new patients | |
| Med - Care Clinic Inc | Past | Accepting new patients | |
| Nostrum Medical Center West Dade LLC | General Practice | Past | Accepting new patients |
| Medcare Clinic LLC | Past | Accepting new patients | |
| Medison Complete Health Care Co | Past | Accepting new patients | |
| Adcare Medical Center | Past | Accepting new patients | |
| New Life Medical Center Inc | General Practice | Past | Accepting new patients |
| Jose a Esnard MD PA | Past | Accepting new patients |
Locations
4410 W 16th Ave
Ste 26
Hialeah, FL 33012
Phone (305) 822-8883
625 Commerce Dr
Ste 105
Lakeland, FL 33813
Phone (877) 212-2267
3400 Lakeside Dr
Ste 525
Miramar, FL 33027
Phone (877) 212-2267
Interoperability endpoints
- albamarina.obourke@ccms.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/FGBIBD
Organizations & group practices 10
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.
-
- Primary Care Clinic/Center
- Miami Lakes, FL
- NPI 1780197152
-
- General Practice Physician
- Hialeah, FL
- NPI 1689851768
-
- Health Maintenance Organization
- Miami, FL
- NPI 1609067990
-
- Specialist
- Miami, FL
- NPI 1962449371
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1932347036
-
- Family Medicine Physician
- Miami, FL
- NPI 1386686749
-
- Multi-Specialty Clinic/Center
- Hialeah, FL
- NPI 1932211299
-
- General Practice Physician
- Miami, FL
- NPI 1285901926
-
- Acute Care Nurse Practitioner
- Alexander City, AL
- NPI 1912220476
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Miami, FL
- NPI 1184719775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1891716908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 CORAL GATE DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331451837",
"telephone_number": "305-441-9362",
"fax_number": "305-441-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 SW 130TH AVE",
"address_2": "#102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753414",
"telephone_number": "305-223-3580",
"fax_number": "305-223-3582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O' BOURKE",
"first_name": "ALBA MARINA",
"credential": "MD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME90672",
"primary": true
}
],
"identifiers": [],
"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 Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.