Individual provider Active NPI

Emma Katherine Eilo, PA-C

  • Physician Assistant
  • Doral, FL
National Provider Identifier
1962189134
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118811 Issued in FL
Practice address
8333 NW 53Rd St
Doral, FL 33166-4783
Phone
(305) 243-8644
NPI assigned
Jun 29, 2023
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118811 FL Primary

Addresses

Primary practice location

8333 NW 53Rd St
Doral, FL 33166-4783

Mailing address

1295 NW 14TH St
Miami, FL 33125-1610
Phone (305) 243-8644

Other practice location 1

5555 Ponce De Leon Blvd
Coral Gables, FL 33146-2513
Phone (305) 243-8644

Other practice location 2

1295 NW 14th St
Miami, FL 33125-1610
Phone (305) 243-8644

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eeilo795017@direct.vumc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231212000373 TN Practitioner - Physician Assistant 8820447261 Reassigns benefits to 1 organization
I20241111001258 FL Practitioner - Physician Assistant 8820447261 Reassigns benefits to 1 organization
I20250625001777 SC Practitioner - Physician Assistant 8820447261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

167 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

2060 Sam Rittenberg Blvd
Charleston, SC 29407-4616
Phone (843) 792-1414

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5791SCMDOccupational Therapist
PA9118811FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Nov 1, 2024 Accepting new patients
University of Miami CurrentSince Nov 1, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Physician Assistant CurrentSince Jul 1, 2025 Accepting new patients

Locations

5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 243-2020

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

8333 NW 53rd St
Miami, FL 33166
Phone (305) 689-8375

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Interoperability endpoints

  • Direct secure messaging: ecuddy408337@direct.musc.edu
  • Direct secure messaging: eeilo144959@direct.med.miami.edu
  • Direct secure messaging: eeilo795017@direct.vumc.org

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1962189134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251610",
            "telephone_number": "305-243-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 NW 53RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664783",
            "telephone_number": "305-243-8644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Ponce De Leon Blvd",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331462513",
            "country_code": "US",
            "telephone_number": "305-243-8644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1295 NW 14th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331251610",
            "country_code": "US",
            "telephone_number": "305-243-8644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EILO",
        "first_name": "EMMA",
        "middle_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eeilo795017@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "1211 21st Ave S Ste 220",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372122702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.