Active NPI
Christian L Otrakji, MD
- Clinical Pathology/Laboratory Medicine Physician
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- ME49555
- Practice address
- 6200 SW 73Rd St
5 Main, 5 Floor
South Miami, FL 33143-4679 - Phone
- (786) 596-4486
- Fax
- (786) 596-5986
- NPI assigned
- Feb 2, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | ME49555 | FL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME49555 | FL | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | ME49555 | FL | Primary |
Addresses
Primary practice location
6200 SW 73Rd St
5 Main, 5 Floor
South Miami, FL 33143-4679
Mailing address
PO Box 552010
Tampa, FL 33655-0001
Phone (786) 596-4486
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
- Pathology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6200 SW 73 St
Miami, FL 33143-4679
Phone (786) 662-8168
Hospital & facility affiliations
- South Miami Hospital
- Baptist Hospital of Miami
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Associates of South Miami | Cytopathology | Current | Accepting new patients |
| Comprehensive Pathology Associates | Cytopathology | Past | Accepting new patients |
| Comprehensive Pathology Associates | Cytopathology | Past | Accepting new patients |
Locations
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
6200 SW 73rd St
#5
South Miami, FL 33143
Phone (786) 596-4486
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- South Miami, FL
- NPI 1922159292
Cytopathology
-
- Clinical Pathology/Laboratory Medicine Physician
- Homestead, FL
- NPI 1114098100
Cytopathology
-
- Clinical Pathology/Laboratory Medicine Physician
- South Miami, FL
- NPI 1568533552
Cytopathology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami, FL
- NPI 1528042884
-
- General Acute Care Hospital
- South Miami, FL
- NPI 1982688230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189987200000",
"number": "1922070259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 552010",
"city": "TAMPA",
"state": "FL",
"postal_code": "336550001",
"telephone_number": "786-596-4486",
"fax_number": "786-596-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 SW 73RD ST",
"address_2": "5 MAIN, 5 FLOOR",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434679",
"telephone_number": "786-596-4486",
"fax_number": "786-596-5986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTRAKJI",
"first_name": "CHRISTIAN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2007-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "FL",
"license": "ME49555",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME49555",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "FL",
"license": "ME49555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.