NPIMap

Organization Active NPI

Reiss Kang Jayanetti Pereda Galinanes, MD, PA

Doing business as Miami Vascular Surgery

  • Vascular Surgery Physician
  • Miami, FL
National Provider Identifier
1952343550
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
REISS KANG JAYANETTI PEREDA GALINANES, MD, PA
Doing business as
Miami Vascular Surgery
Practice address
6200 Sunset Dr
Suite 505
Miami, FL 33143
Phone
(305) 668-1660
Fax
(305) 668-1650
NPI assigned
Jun 11, 2006
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Steven Kang, MDNPI 1154391456
Title
MD
Phone
(305) 668-1660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

6200 Sunset Dr
Suite 505
Miami, FL 33143

Mailing address

6200 Sunset Dr
Suite 505
South Miami, FL 33143-4805
Phone (305) 668-1660

Other identifiers 1

IdentifierTypeStateIssuer
38872OtherFLBCBS NUMBER

Other names 1

  • Miami Vascular Surgery Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Athena Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050720000359 FL Part B Supplier - Clinic/Group Practice 3870520034 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Coral Gables, FL; South Miami, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1952343550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR",
            "address_2": "SUITE 505",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434805",
            "telephone_number": "305-668-1660",
            "fax_number": "350-668-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR",
            "address_2": "SUITE 505",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-668-1660",
            "fax_number": "305-668-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REISS KANG JAYANETTI PEREDA GALINANES, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "305-668-1660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "38872",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6200 Sunset Dr",
            "address_2": "Suite 505",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Miami Vascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.