Individual provider Active NPI

Antonio Gandia, MD

  • Emergency Medicine Physician
  • Hialeah, FL
National Provider Identifier
1992896898
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME0053887 Issued in FL
Practice address
2001 W 68TH St
Hialeah, FL 33016-1801
Phone
(305) 823-5000
Fax
(904) 346-0113
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME0053887 FL Primary

Addresses

Primary practice location

2001 W 68TH St
Hialeah, FL 33016-1801

Mailing address

PO Box 534235
Atlanta, GA 30353-4235
Phone (305) 651-2270

Other identifiers 2

IdentifierTypeStateIssuer
030416600MedicaidFL
07848OtherFLBCBS

Other names 1

  • Antonio Gandia Other name

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
I20041116001069 FL Practitioner - Emergency Medicine 2961466255 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Md4Er LLCGroup PAC ID 0840511242, 11 clinicians

Practice addresses (Care Compare)

5900 College Rd
Key West, FL 33040-4342
Phone (305) 294-5531

Hospital & facility affiliations

  • Lower Keys Medical Center Hospital, Key West, FL, CCN 100150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0053887FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Md4Er LLC CurrentSince Nov 1, 2022 Accepting new patients
CDR Health Care Inc CurrentSince Nov 21, 2023 Accepting new patients
Criticare Clinics Inc Emergency Medicine CurrentSince Jun 22, 2013 Accepting new patients
Sterling Emergency Services of Miami Beach PA Emergency Medicine CurrentSince Jul 1, 2004 Accepting new patients
Sterling Emergency Services of Miami Beach PA Emergency Medicine CurrentSince Jul 1, 2004 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince May 29, 2015 Accepting new patients
Sterling Emergency Physicians of Palmetto PA Emergency Medicine Past Accepting new patients
DV3 Health, Inc. PastSince Sep 11, 2022 Accepting new patients

Locations

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

11740 SW 80th St
Ste 102
Miami, FL 33183

2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

Organizations & group practices 8

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.

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1992896898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534235",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303534235",
            "telephone_number": "305-651-2270",
            "fax_number": "904-346-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 68TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161801",
            "telephone_number": "305-823-5000",
            "fax_number": "904-346-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDIA",
        "first_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0053887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030416600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07848",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIO",
            "last_name": "GANDIA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.