NPIMap

Individual provider Active NPI

Madeline Etkin Mlynczak, M.D., M.S.

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1982163861
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME163833 Issued in FL
Practice address
15155 SW 97TH Ave Ste 100
Miami, FL 33176-0049
Phone
(305) 689-7272
Fax
(305) 689-7273
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 333698 LA
Internal Medicine Physician 207R00000X ME163833 FL
Pediatrics Physician 208000000X 333698 LA
Pediatrics Physician 208000000X ME163833 FL Primary

Addresses

Primary practice location

15155 SW 97TH Ave Ste 100
Miami, FL 33176-0049

Mailing address

15155 SW 97TH Ave Ste 100
Miami, FL 33176-0049
Phone (305) 689-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824000842 FL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6608108592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Univ of Central Florida, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians
University Medical Service Association IncGroup PAC ID 6800790221, 818 clinicians

Practice addresses (Care Compare)

15155 SW 97TH Ave
Suite 100
Miami, FL 33176-0049
Phone (305) 689-7272

17 Davis Blvd
Tampa, FL 33606-3475
Phone (813) 821-8038

4202 E Fowler Ave
Tampa, FL 33620-6750

Hospital & facility affiliations

  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
University Medical Service Association Inc Internal Medicine CurrentSince Nov 24, 2025 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
University of Miami Current Accepting new patients
University Medical Service Association Inc CurrentSince Nov 24, 2025 Accepting new patients
University of Miami Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
University Medical Service Association Inc Past Accepting new patients
University of Miami Past Accepting new patients

Locations

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

1611 NW 12th Ave
Fl 5
Miami, FL 33136
Phone (305) 243-4211

15155 SW 97th Ave
Ste 100
Miami, FL 33176
Phone (305) 528-5982

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

4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331

17 Davis Blvd
Tampa, FL 33606
Phone (813) 250-2506

Interoperability endpoints

  • Direct secure messaging: mmlynczak128056@direct.med.miami.edu

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1982163861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15155 SW 97TH AVE STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331760049",
            "telephone_number": "305-689-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15155 SW 97TH AVE STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331760049",
            "telephone_number": "305-689-7272",
            "fax_number": "305-689-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLYNCZAK",
        "first_name": "MADELINE",
        "middle_name": "ETKIN",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "333698",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME163833",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "333698",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME163833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.