Individual provider Active NPI

Steven J Deprima, MD

  • Diagnostic Radiology Physician
  • South Miami, FL
National Provider Identifier
1962468579
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME47268 Issued in FL
Practice address
6129 SW 70TH St
South Miami, FL 33143-3451
Phone
(786) 308-2328
NPI assigned
Apr 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X G53338 CA
Vascular & Interventional Radiology Physician 2085R0204X ME47268 FL
Diagnostic Radiology Physician 2085R0202X ME47268 FL Primary

Addresses

Primary practice location

6129 SW 70TH St
South Miami, FL 33143-3451

Mailing address

PO Box 431306
Miami, FL 33243
Phone (305) 799-2599

Other identifiers 1

IdentifierTypeStateIssuer
374522800MedicaidFL

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
I20040113000225 FL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2466352646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Emory University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Imaging IncGroup PAC ID 6901886092, 9 clinicians

Practice addresses (Care Compare)

18851 NE 29TH Ave
Suite 103
Aventura, FL 33180-2811
Phone (305) 890-1839

3801 Biscayne Blvd
Suite 100
Miami, FL 33137-9800
Phone (305) 890-1839

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G53338CAMDNeuroradiology Physician
ME47268FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S J Deprima MD Radiology PA Vascular & Interventional Radiology CurrentSince Aug 1, 2002 Accepting new patients
Partners in Imaging Inc Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
MRI at Sunset Inc Past Accepting new patients
S J Deprima MD Radiology PA PastSince Jan 1, 1990 Accepting new patients

Locations

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

7867 N Kendall Dr
Ste 120
Miami, FL 33156
Phone (305) 279-2674

6129 SW 70th St
South Miami, FL 33143
Phone (305) 218-4128

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1962468579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33243",
            "telephone_number": "305-799-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6129 SW 70TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433451",
            "telephone_number": "786-308-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPRIMA",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "G53338",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME47268",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME47268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374522800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.