Multi-Specialty Physicians Group, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

MULTI-SPECIALTY PHYSICIANS GROUP, LLC

Practice address

11501 SW 40TH St Ste 101
Miami, FL 33165-3313

Phone

(305) 631-7447

Fax

(305) 631-7468

NPI assigned

Mar 31, 2022

Organization subpart

No

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

Authorized official

Name

Marcos Perez

Title

Sr VP

Phone

(305) 646-3728

Specialties & licenses 1

Addresses

Other names 1

• Bird Road Dialysis Doing business as

Tax ID family

Bird Road Dialysis3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Multi-Specialty Physicians Group, LLC

  • Specialist
  • Doral, FL
  • NPI 1497299796
  NPD tax ID
• Optometry Associates, LLC

  • Optometrist
  • Doral, FL
  • NPI 1417708462
  NPD tax ID

Locations

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1902546583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 NW 41ST ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 SW 40TH ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653313",
            "telephone_number": "305-631-7447",
            "fax_number": "305-631-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI-SPECIALTY PHYSICIANS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "SR VP",
        "authorized_official_telephone_number": "305-646-3728"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bird Road Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kavan Maguire Mulloy, MD
• Multi - Med Equipment, Inc.
• Multi Health Solutions Group
• Multi Med Imaging, LLC
• Multi Services Health Group LLC
• Deepak K Mummidavarapu Janaki, M.D
• Muhammad Ali Mumtaz, MD
• Mrudula Reddy Munagala, M.D.
• Katrina Munajj, LCSW
• Munay Therapy Services Inc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.