South Miami Health Center – Federally Qualified Health Center (FQHC), NPI 1336583004

South Miami Health Center is a healthcare provider. based in Cutler bay, Florida. specializing in Federally Qualified Health Center (FQHC). The organization holds a License No. 1309 (FL). The NPI Number for South Miami Health Center is 1336583004

Main info

Organization
Name
South Miami Health Center
NPI
1336583004
Phone
(305) 253-5100
Address
10300 SW 216TH ST
Authorized Official
MR. BLAKE HALL PRESIDENT/CEO
Enumeration Date
24 April 2013
Last Update Date
29 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness80
Years active:13State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for South Miami Health Center

  • 10300 SW 216TH ST

    CUTLER BAY, FL 331901003

    Phone: (305) 253-5100

    Fax: (305) 252-5881

    Type: Mailing

  • 6350 SUNSET DR

    SOUTH MIAMI, FL 331434836

    Phone: (305) 253-5100

    Fax: (305) 252-5811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-09-05

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
O20130905000909OFederally Qualified Health Center (Fqhc)FLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33190)

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Reviews

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Frequently asked questions

What identifier follows South Miami Health Center across health systems?
The NPI 1336583004 uniquely identifies South Miami Health Center in U.S. healthcare data.
Does the public listing show South Miami Health Center as active?
South Miami Health Center's NPI record reflects an active status in NPPES.
How should patients interpret South Miami Health Center's specialty?
The extract shows Federally Qualified Health Center (FQHC) for South Miami Health Center. Clinical services aligned with this taxonomy classification.
Can patients visit South Miami Health Center in Cutler Bay, Florida?
For routing, start with Cutler Bay, Florida for South Miami Health Center, then verify phone and hours locally.
Can I export South Miami Health Center's record?
You can download the official NPPES record; we summarize key fields for readability.

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