Active NPI
Andrew E Nullman, M.D.
- Gastroenterology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME51981
- Practice address
- 1190 NW 95TH St Ste 412
Miami, FL 33150-2067 - Phone
- (305) 534-4404
- Fax
- (305) 691-4449
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME51981 | FL | Primary |
Addresses
Primary practice location
1190 NW 95TH St Ste 412
Miami, FL 33150-2067
Mailing address
1190 NW 95TH St Ste 412
Miami, FL 33150-2067
Phone (305) 534-4404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053552400 | Medicaid | FL |
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
- Gastroenterology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16855 NE 2 Ave
Suite 300
North Miami Beach, FL 33162-1744
Phone (305) 654-4488
Hospital & facility affiliations
- North Shore Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 30 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME51981 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venture Gastroenterology LLC | Gastroenterology | Current | Accepting new patients |
| Andrew E Nullman MD PA | Gastroenterology | Current | Accepting new patients |
| Venture Gastroenterology LLC | Gastroenterology | Current | Accepting new patients |
Locations
1740 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (305) 933-3170
1190 NW 95th St
Ste 412
Miami, FL 33150
Phone (305) 534-4404
4302 Alton Rd
Ste 660
Miami Beach, FL 33140
Phone (305) 534-4404
4302 Alton Rd
Ste 760
Miami Beach, FL 33140
Phone (305) 329-2900
1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000
16855 NE 2nd Ave
Ste 300
North Miami Beach, FL 33162
Phone (305) 534-4404
65 NW 168th St
North Miami Beach, FL 33169
Phone (305) 653-6365
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- andrew.nullman.1@3165.direct.athenahealth.com
- andrew.nullman.9@3165.direct.athenahealth.com
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.
-
- Gastroenterology Physician
- North Miami Beach, FL
- NPI 1578810743
-
- Gastroenterology Physician
- Miami, FL
- NPI 1457459489
-
- Gastroenterology Physician
- Hallandale Beach, FL
- NPI 1720335995
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lauderdale Lakes, FL
- NPI 1184440828
-
- General Acute Care Hospital
- Miami, FL
- NPI 1194552141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1912939208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 NW 95TH ST STE 412",
"city": "MIAMI",
"state": "FL",
"postal_code": "331502067",
"telephone_number": "305-534-4404",
"fax_number": "305-691-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 NW 95TH ST STE 412",
"city": "MIAMI",
"state": "FL",
"postal_code": "331502067",
"telephone_number": "305-534-4404",
"fax_number": "305-691-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NULLMAN",
"first_name": "ANDREW",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME51981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "053552400",
"state": "FL"
}
],
"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 Nov 8, 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.