Individual provider Active NPI

Sergio Xiques, M.D.

  • Hematology & Oncology Physician
  • Miami, FL
National Provider Identifier
1922096130
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME0045708 Issued in FL
Practice address
11760 SW 40TH St
Ste. 420
Miami, FL 33175-3582
Phone
(305) 225-8804
Fax
(305) 225-4466
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME0045708 FL Primary

Addresses

Primary practice location

11760 SW 40TH St
Ste. 420
Miami, FL 33175-3582

Mailing address

11760 SW 40TH St
Ste. 420
Miami, FL 33175-3582
Phone (305) 225-8804

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050706000131 FL Practitioner - Hematology/Oncology 5597701102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11760 SW 40TH St
Suite 420
Miami, FL 33175-3595
Phone (305) 225-8805

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0045708FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sergio Xiques MD PA Hematology & Oncology CurrentSince Jan 1, 2008 Accepting new patients
Pulmonary Physicians of South Florida LLC Past Accepting new patients
Oncology and Radiation Associates PA Hematology & Oncology Past Accepting new patients

Locations

11760 SW 40th St
Ste 420
Miami, FL 33175
Phone (305) 225-8804

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1922096130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "STE. 420",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-225-8804",
            "fax_number": "305-225-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "STE. 420",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-225-8804",
            "fax_number": "305-225-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIQUES",
        "first_name": "SERGIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME0045708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.