Unknown Individual – Nephrology Physician, NPI 1306831268
Nephrology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Green Diamond Condominium, 4775, Collins Avenue, Miami Beach, Miami-Dade County, Florida, 33140, United States
APT 903
MIAMI BEACH, FL 331403262
Phone: (305) 835-7045
Fax: (305) 836-2359
Type: Mailing
1190, Northwest 95th Street, Colonial Acres Mobile Home Park, Miami, Miami-Dade County, Florida, 33150, United States
SUITE 207
MIAMI, FL 331502063
Phone: (305) 835-7045
Fax: (305) 836-2359
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 165 | 58 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 45 | 34 | $0 |
Insurance plans in this area (ZIP 33140)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | FL | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 230 | 115 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | FL | |
| Nephrology, Internal Medicine | FL | |
| N E P H R O L O G Y | FL | |
| Internal Medicine, Nephrology | FL | |
| Nephrology, Internal Medicine | FL |
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