NPIMap

Individual provider Active NPI

Nidal B Radwan, MD

  • Family Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1902856875
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0071068 Issued in FL
Practice address
18100 NE 19TH Ave Ste 102
North Miami Beach, FL 33162-1606
Phone
(754) 201-7029
Fax
(305) 948-3934
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0071068 FL Primary

Addresses

Primary practice location

18100 NE 19TH Ave Ste 102
North Miami Beach, FL 33162-1606

Mailing address

18100 NE 19TH Avenue
Suite #102
North Miami Beach, FL 33162-1606
Phone (305) 948-8900

Other practice location 1

16401 NW 2nd Ave Ste 200
North Miami Beach, FL 33169-6036
Phone (305) 947-7196

Other identifiers 1

IdentifierTypeStateIssuer
117166200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217000808 FL Practitioner - Family Practice 4880589092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nidal Radwan MD PAGroup PAC ID 3375792252, 2 clinicians

Practice addresses (Care Compare)

16401 NW 2ND Ave
Suite 200
North Miami Beach, FL 33169-6036
Phone (305) 947-7196

18100 NE 19TH Ave
Suite 102
North Miami Beach, FL 33162-1606
Phone (305) 948-8900

1859 Vanburen St
Kindred of Hollywood
Hollywood, FL 33020-5127
Phone (954) 920-9000

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0071068FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nidal Radwan M.D. PA Single Specialty CurrentSince Jul 30, 2012 Accepting new patients
Seasons Medical Group of Florida PA Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
ER Urgent Care Management Co Inc Single Specialty Past Accepting new patients
Public Health Trust of Miami Dade County Florida Single Specialty Past Accepting new patients

Locations

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

5200 NE 2nd Ave
Fl 3
Miami, FL 33137
Phone (305) 762-3883

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

18100 NE 19th Ave
#102
North Miami Beach, FL 33162
Phone (305) 948-8900

16401 NW 2nd Ave
Ste 200
North Miami Beach, FL 33169
Phone (305) 947-7196

Interoperability endpoints

  • Direct secure messaging: nidal.radwan@449.emedpractice.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pinecrest Center for Rehabilitation and HealingNorth Miami, FL, CCN 105153 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 4, 2025
Aug 4, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1902856875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 NE 19TH AVENUE",
            "address_2": "SUITE #102",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621606",
            "telephone_number": "305-948-8900",
            "fax_number": "305-948-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 NE 19TH AVE STE 102",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621606",
            "telephone_number": "754-201-7029",
            "fax_number": "305-948-3934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16401 NW 2nd Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331696036",
            "country_code": "US",
            "telephone_number": "305-947-7196",
            "fax_number": "305-947-7776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADWAN",
        "first_name": "NIDAL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0071068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117166200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.