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Active NPI 1104128305 Individual Practitioner Male Practitioner

Abdul Samad Memon , PA-C

Physician Assistant • Miami, FL

Professional Overview & Biography Verified Profile Summary

Abdul Memon, PA-C is a registered healthcare professional specializing in Physician Assistant in Miami, FL. Practice services are available at 14150 SW 136TH ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

14150 Sw 136th St

Miami, FL 331865506

Telephone 7862044600
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
662 Specialists

Practicing in Miami, FL (10376 Statewide)

Telehealth Adoption Rate
9.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
19 19 $443.00 $111.46
99285 Emergency department visit for life threatening or functioning severity
18 18 $665.00 $164.46

Medical Specialties & State Licenses

CMS Verified: 2024-10-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9105666

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

450 W Sr 434 Ste 3010

Longwood, FL 327505196

Phone: 4077678200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Michael Ronselli , APRN

Nurse Practitioner - Family

NPI 1114625712

Advanced Practice Registered Nurse

Dr. Jose Llach , DO

Emergency Medicine

NPI 1174732705

Doctor of Osteopathic Medicine (D.O.)

Dr. William Heersink , MD

Emergency Medicine

NPI 1316526890

Doctor of Medicine (M.D.)

NPI 1427288109

Doctor of Osteopathic Medicine (D.O.)

Dr. Jennifer Hwang , DO

Emergency Medicine

NPI 1437688215

Doctor of Osteopathic Medicine (D.O.)

Diana Alvarez-Jacinto , PA-C

Physician Assistant

NPI 1477387371

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 28, 2024

Registered at 14150 SW 136TH ST, MIAMI, FL 331865506 (Tel: 7862044600)

📍
Updated Business Mailing Address October 28, 2024

Registered at 6200 SUNSET DR STE 302, SOUTH MIAMI, FL 331434829 (Tel: 7868888820)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2024

Physician Assistant (License #PA9105666 in FL)

NPI Profile Active November 22, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2010

Registered at 450 W SR 434 STE 3010, LONGWOOD, FL 327505196 (Tel: 4077678200)

📍
Updated Business Mailing Address November 22, 2010

Registered at 9140 SW 153RD AVE, MIAMI, FL 331962853 (Tel: 3052134838)

👤
Provider Name / Credentials Updated November 22, 2010

Recorded as ABDUL MEMON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2010

Physician Assistant (License #9105666 in FL)

🟢
Initial NPI Registration & Enumeration November 22, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104128305
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2010
Last Update: October 28, 2024
Sole Proprietor: No

Mailing Address

6200 Sunset Dr Ste 302

South Miami, FL 331434829

Phone: 7868888820

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.