NICOLE AMANDA ROSS-GREENBAUM (DO) – Family Medicine Physician, NPI 1811423858

NICOLE AMANDA ROSS-GREENBAUM (DO) is a healthcare provider. based in Miami, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS16803 (FL). The NPI Number for NICOLE AMANDA ROSS-GREENBAUM (DO) is 1811423858

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE AMANDA ROSS-GREENBAUM (DO)
NPI
1811423858
Phone
(786) 467-3140
Address
15955 SW 96TH ST
Enumeration Date
11 May 2017
Last Update Date
13 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052797677
Graduation Year
2017 (9 years ago)
PAC ID
0446512446
Group Practice PAC ID
2365599909
Professional Enrollment ID
I20200818000966
Address ID
FL331834825MI8200XAVEX403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for NICOLE AMANDA ROSS-GREENBAUM (DO)

  • Southwest 96th Street, Pinecrest, Miami-Dade County, Florida, 33156-7704, United States

    SUITE 200

    MIAMI, FL 331961271

    Phone: (786) 467-3140

    Type: Location

  • 8200 SW 117TH AVE STE 100

    MIAMI, FL 331834825

    Phone: (305) 279-7677

    Type: Location

  • 8200, Southwest 117th Avenue, Kendall, Miami-Dade County, Florida, 33183, United States

    STE 100

    MIAMI, FL 331834825

    Phone: (786) 467-3140

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $432.

Total Amount is formed as General ($432) + Research ($0) + Ownership ($0) = $432.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($171).

Total Amount

$432

General + Research + Ownership

Payments

22

Total payment records

General Amount

$432

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200818000966IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 33196)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365599909View full group profile
NameSpecialtyState
Physician AssistantFL
Family PracticeFL
Physical Therapist In Private PracticeFL
Family PracticeFL
Family PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What is NICOLE AMANDA ROSS-GREENBAUM (DO)'s NPI number?
NICOLE AMANDA ROSS-GREENBAUM (DO)'s NPI is 1811423858 — the number used across U.S. healthcare to identify this provider.
Is there an active status for NICOLE AMANDA ROSS-GREENBAUM (DO)?
For scheduling context, NICOLE AMANDA ROSS-GREENBAUM (DO) is shown as active in the registry.
What kind of doctor is NICOLE AMANDA ROSS-GREENBAUM (DO)?
NICOLE AMANDA ROSS-GREENBAUM (DO) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with NICOLE AMANDA ROSS-GREENBAUM (DO)?
Directory geography for NICOLE AMANDA ROSS-GREENBAUM (DO) centers on Miami, Florida.
Can I trust this NPI listing for NICOLE AMANDA ROSS-GREENBAUM (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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