Active NPI
Klara Gershman, M.D.
- Family Medicine Physician
- Miami Beach, FL
National Provider Identifier
1942266002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME39457
- Practice address
- 777 17TH St
Ste 400
Miami Beach, FL 33139-1895 - Phone
- (305) 801-3751
- Fax
- (305) 673-1960
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME39457 | FL | Primary |
Addresses
Primary practice location
777 17TH St
Ste 400
Miami Beach, FL 33139-1895
Mailing address
777 17TH St
Ste 400
Miami Beach, FL 33139-1895
Phone (305) 673-3555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2547473000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME39457 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Physicians of Tamiami LLC | Past | Accepting new patients | |
| Urgent Care Physicians of Palmetto Bay LLC | Past | Accepting new patients | |
| Urgent Care Physicians of West Kendall LLC | Past | Accepting new patients | |
| Urgent Care Physicians of Country Walk LLC | Past | Accepting new patients | |
| Urgent Care Physicians of Westchester LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- General Practice Physician
- Miami, FL
- NPI 1689838849
-
- General Practice Physician
- Palmetto Bay, FL
- NPI 1740403914
-
- General Practice Physician
- Miami, FL
- NPI 1639381965
-
- General Practice Physician
- Miami, FL
- NPI 1508989757
-
- General Practice Physician
- Miami, FL
- NPI 1992928162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1942266002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 17TH ST",
"address_2": "STE 400",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331391895",
"telephone_number": "305-673-3555",
"fax_number": "305-673-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 17TH ST",
"address_2": "STE 400",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331391895",
"telephone_number": "305-801-3751",
"fax_number": "305-673-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSHMAN",
"first_name": "KLARA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME39457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2547473000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.