Active NPI
Ivy Salom, M.D.
- Diagnostic Radiology Physician
- Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 18257
- Practice address
- 4306 Alton Rd
Miami Beach, FL 33140-2840 - Phone
- (305) 674-9100
- NPI assigned
- Aug 12, 2007
- Last updated
- Jan 15, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 18257 | PR | Primary |
Addresses
Primary practice location
4306 Alton Rd
Miami Beach, FL 33140-2840
Mailing address
4300 Alton Road
Mount Sinai Medical Center
Miami Beach, FL 33140
Phone (305) 674-2680
Other names 1
- Ivy Aragoneses
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
- Diagnostic Radiology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2505 Flagler Ave
Key West, FL 33040-3934
Phone (305) 295-6790
2845 Aventura Blvd
Aventura, FL 33180-3118
Phone (305) 674-3905
4300 Alton Rd
Miami, FL 33140-2948
Phone (305) 674-3905
6050 W 20TH Ave
Hialeah, FL 33016-2605
Phone (786) 584-5555
Hospital & facility affiliations
- Mount Sinai Medical Center of Florida, Inc
- Univ of Miami Hospital and Clinics-Sylvester Compr
- HCA Florida Aventura Hospital
- Doctors Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18257 | PR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology of MSMC, LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000
4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776
Interoperability endpoints
- isalom6450@direct.msmc.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Miami Beach, FL
- NPI 1891070256
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coral Gables, FL
- NPI 1952351983
-
dba HCA Florida Aventura Hospital
- General Acute Care Hospital
- Aventura, FL
- NPI 1407801673
-
- General Acute Care Hospital
- Miami Beach, FL
- NPI 1912964768
-
dba Sylvester Comprehensive Cancer Center
- Special Hospital
- Miami, FL
- NPI 1679660617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1952593170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 ALTON ROAD",
"address_2": "MOUNT SINAI MEDICAL CENTER",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "33140",
"telephone_number": "305-674-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4306 ALTON RD",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331402840",
"telephone_number": "305-674-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALOM",
"first_name": "IVY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-12",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PR",
"license": "18257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IVY",
"last_name": "ARAGONESES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Miami Beach, FL
- Cintia Mayumi Sakurai Kimura, MD PHD
- Maria Jimena Salas, M.D.
- Krizia Salinas, LMHC
- Silvia Salinas, AP
- Gabriel Ellis Salloum, MD
- Paula Weintraub Saltzman, LCSW
- Saltzman, Tanis, Pittell, Levin and Jacobson, LLC (Pediatric Associates)
- Salud Pack Inc
- Samoho Healthcare South Beach LLC (Medigo)
- Richard Joseph Samperisi, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.