Individual provider Active NPI

Andreas C Tomac, M.D., PHD., FAANS

  • Neurological Surgery Physician
  • Hialeah, FL
National Provider Identifier
1972700276
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME114492 Issued in FL
Practice address
1435 W 49TH PL Ste 402
Hialeah, FL 33012-3147
Phone
(954) 633-7858
Fax
(866) 611-2922
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME114492 FL Primary

Addresses

Primary practice location

1435 W 49TH PL Ste 402
Hialeah, FL 33012-3147

Mailing address

1435 W 49TH PL Ste 402
Hialeah, FL 33012-3147
Phone (954) 633-7858

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
I20121019000401 FL Practitioner - Neurosurgery 4183874563 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME114492FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novo Neurosuegry Inc Neurological Surgery CurrentSince May 27, 2023 Accepting new patients
Ocala Primary Care LLC PastSince Apr 1, 2023 Accepting new patients
The Clearwater Orthopaedic ASC LLC Past Accepting new patients
Florida Hospital Physician Group Inc PastSince Apr 1, 2023 Accepting new patients
Spinecare Associates, LLC Past Accepting new patients

Locations

1435 W 49th Pl
Ste 402
Hialeah, FL 33012
Phone (305) 907-8526

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFFBDD/Endpoint/AFFBDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1972700276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL STE 402",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123147",
            "telephone_number": "954-633-7858",
            "fax_number": "866-611-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL STE 402",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123147",
            "telephone_number": "954-633-7858",
            "fax_number": "866-611-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMAC",
        "first_name": "ANDREAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD., FAANS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME114492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.