| Dedicated Senior Medical Center | |
|
1395 Nw 167th St Miami Gardens FL 33169-5710 | |
| (305) 628-6117 | |
| Not Available |
| Full Name | Dedicated Senior Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1395 Nw 167th St, Miami Gardens, Florida |
| Authorized Official Name and Position | Mary Chen (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3058314722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dedicated Senior Medical Center 1395 Nw 167th St Miami Gardens FL 33169-5710 Ph: () - | Dedicated Senior Medical Center 1395 Nw 167th St Miami Gardens FL 33169-5710 Ph: (305) 628-6117 |
| NPI Number | 1992392393 |
|---|---|
| Provider Enumeration Date | 12/31/2020 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 1153735287 |
|---|---|
| Medicare Enrollment ID | O20210201000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992392393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Secondary |
| Provider Name | Vishnuvardhan G Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376522763 PECOS PAC ID: 6800794124 Enrollment ID: I20031223000736 |
| Provider Name | James A Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427169242 PECOS PAC ID: 3173416484 Enrollment ID: I20040202001067 |
| Provider Name | Patricia Coleman Miezan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770546103 PECOS PAC ID: 6608847348 Enrollment ID: I20040805000670 |
| Provider Name | Tamra Maben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235240169 PECOS PAC ID: 4789774662 Enrollment ID: I20071214000707 |
| Provider Name | Raied M Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417125519 PECOS PAC ID: 9032282546 Enrollment ID: I20080716000746 |
| Provider Name | Orest J Sowirka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396720561 PECOS PAC ID: 8022164060 Enrollment ID: I20090916000711 |
| Provider Name | George C Popp |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225010796 PECOS PAC ID: 4880754720 Enrollment ID: I20100112000043 |
| Provider Name | Hester S Pernell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124120423 PECOS PAC ID: 7315070182 Enrollment ID: I20100730000030 |
| Provider Name | Mayada Abdul-aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699755173 PECOS PAC ID: 7618160870 Enrollment ID: I20101020000281 |
| Provider Name | Srikar T Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609036409 PECOS PAC ID: 8820283393 Enrollment ID: I20101110000130 |
| Provider Name | Temitope Olagbaiye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043561277 PECOS PAC ID: 4789829151 Enrollment ID: I20130408000198 |
| Provider Name | Haseeb A Khawaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679580104 PECOS PAC ID: 6103882642 Enrollment ID: I20130916000755 |
| Provider Name | Sandra L Molteni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275972127 PECOS PAC ID: 8022242866 Enrollment ID: I20131009001354 |
| Provider Name | Tony Abood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194165829 PECOS PAC ID: 9931429206 Enrollment ID: I20150528000582 |
| Provider Name | Armine Zakharian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821275439 PECOS PAC ID: 0143372086 Enrollment ID: I20150827001330 |
| Provider Name | Anteo Pashaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386026193 PECOS PAC ID: 3678886512 Enrollment ID: I20170919003367 |
| Provider Name | Shamik N Dwivedi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952667081 PECOS PAC ID: 0941423479 Enrollment ID: I20170929002689 |
| Provider Name | Lauren Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023490653 PECOS PAC ID: 6002112208 Enrollment ID: I20180418000939 |
| Provider Name | Racha El-ladki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043660640 PECOS PAC ID: 1759640204 Enrollment ID: I20180627002220 |
| Provider Name | Sally E Azzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396132106 PECOS PAC ID: 5092016113 Enrollment ID: I20180924000605 |
| Provider Name | Adbah Abdulnasser Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083092563 PECOS PAC ID: 3971816646 Enrollment ID: I20190607000550 |
| Provider Name | Vladimir Stefan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790232593 PECOS PAC ID: 6406136449 Enrollment ID: I20190912001723 |
| Provider Name | Ghulam A Harrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275055626 PECOS PAC ID: 3678997616 Enrollment ID: I20200722003916 |
| Provider Name | Samer Shaja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760831648 PECOS PAC ID: 0840523544 Enrollment ID: I20210202000762 |
| Provider Name | Sankalp Bhatnagar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679014864 PECOS PAC ID: 9133493695 Enrollment ID: I20210331001074 |
| Provider Name | Jennifer Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417040155 PECOS PAC ID: 7315951928 Enrollment ID: I20210511002058 |
| Provider Name | Ali Banisad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174016968 PECOS PAC ID: 6608285200 Enrollment ID: I20210512000972 |
| Provider Name | Traci Trice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255651717 PECOS PAC ID: 2769625672 Enrollment ID: I20210924000657 |
| Provider Name | Poonam Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770005902 PECOS PAC ID: 1456759950 Enrollment ID: I20211014000876 |
| Provider Name | Zakia Sultana |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629419353 PECOS PAC ID: 5496035826 Enrollment ID: I20220119000927 |
| Provider Name | Nathaniel C Sherwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255723946 PECOS PAC ID: 3274882899 Enrollment ID: I20220215000293 |
| Provider Name | Ghadhanfer Salih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083277479 PECOS PAC ID: 6901139658 Enrollment ID: I20220330002692 |
| Provider Name | Osinachi Ajaero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598228090 PECOS PAC ID: 6709112204 Enrollment ID: I20220406001118 |
| Provider Name | Alexander J Ghuneim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740843713 PECOS PAC ID: 9739415241 Enrollment ID: I20220510000506 |
| Provider Name | Charanpreet Khangura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821585001 PECOS PAC ID: 0143622290 Enrollment ID: I20220623003082 |
| Provider Name | Elizabeth Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033634910 PECOS PAC ID: 5092194787 Enrollment ID: I20220627003104 |
| Provider Name | Vidya Bharathi Ramasamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093061871 PECOS PAC ID: 6709108962 Enrollment ID: I20220926002022 |
| Provider Name | Afshan Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942682471 PECOS PAC ID: 8325303720 Enrollment ID: I20221007001468 |
| Provider Name | Judy Ha Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801449616 PECOS PAC ID: 4688050073 Enrollment ID: I20221010000265 |
| Provider Name | Peter A Cognetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154814689 PECOS PAC ID: 5294139952 Enrollment ID: I20221107000183 |
| Provider Name | Jacob Hirsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063953099 PECOS PAC ID: 9830528561 Enrollment ID: I20230407000753 |
| Provider Name | Kendall A Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215460498 PECOS PAC ID: 8325315898 Enrollment ID: I20230525001854 |
| Provider Name | Shilpa Kala Sannapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902303522 PECOS PAC ID: 4385045350 Enrollment ID: I20230622001636 |
| Provider Name | Wassan J Kadhim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043884257 PECOS PAC ID: 2860891629 Enrollment ID: I20240206004727 |
| Provider Name | Mirette Atnas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427630151 PECOS PAC ID: 5698169993 Enrollment ID: I20240223001964 |
| Provider Name | Kamaljeet Bhatia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356900393 PECOS PAC ID: 9335599596 Enrollment ID: I20240304003322 |
| Provider Name | Wafah Jawad Kadhim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669054417 PECOS PAC ID: 0840697348 Enrollment ID: I20240510001262 |
Family Med Choice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18356 Nw 47th Ave, Miami Gardens, FL 33055 Phone: 305-620-7155 | |
Medcare Centers, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4767 Nw 183rd St, Miami Gardens, FL 33055 Phone: 305-266-2929 Fax: 786-558-0242 | |
Jessie Trice Community Health System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20612 Nw 27th Ave, Miami Gardens, FL 33056 Phone: 305-637-6400 Fax: 305-805-1715 | |
Ciartes Medical Center Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18350 Nw 2nd Ave Ste 622, Miami Gardens, FL 33169 Phone: 786-985-4752 | |
Aaron Medical Group Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19509 Nw 57th Ave, Miami Gardens, FL 33055 Phone: 754-465-3003 Fax: 866-552-0934 | |
Spetro And Associates Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Nw 183rd St, Miami Gardens, FL 33169 Phone: 786-230-3577 | |
Alive And Well Community Partners Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18425 Nw 2nd Ave 5th Floor Ph 7, Miami Gardens, FL 33169 Phone: 800-434-1366 |