EASTERN MEDICAL GROUP CORP
NPI 1093241465
General Practice in Miami, FL

Active since May 04, 2017
8900 CORAL WAY, SUITE 202, MIAMI, FL 33165(305) 392-0765 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eastern Medical Group Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN MEDICAL GROUP CORP (NPI 1093241465) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since May 2017. The organization lists Christian Dominguez, President, as its authorized official.

NPPES Registry Identity

NPI1093241465
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEASTERN MEDICAL GROUP CORP
Location Address8900 CORAL WAY, SUITE 202Miami, FL 33165-2075
Mailing Address8900 Coral Way, Suite 202Miami, FL 33165-2075 · (305) 392-0765
Organization SubpartNo
Authorized OfficialChristian DominguezPresident · (305) 392-0765
Enumeration DateMay 4, 2017
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 8, 2023
✔ NPI 1093241465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/CenterTaxonomy 261Q00000X · License HCC11007 (FL)
8900 CORAL WAY, Miami, FL 33165

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastern Medical Group Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Eastern Medical Group Corp, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1639690068
14409 SW 32ND ST
Miami, FL 33175
(786) 315-8918
✔ PECOS5.7 mi
General Practice
NPI 1407865504
330 SW 27TH AVE 509
Miami, FL 33135
(305) 541-9709
✔ PECOS6.4 mi
Family Practice
NPI 1780043703
2001 UNION ST STE 520
San Francisco, CA 94123
(415) 922-3344
✔ PECOS✔ Accepts Medicare2,588 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Medical Group Corp's NPI number?

The NPI number for Eastern Medical Group Corp is 1093241465. It was assigned to this organization in the NPPES registry on May 4, 2017.

Where is Eastern Medical Group Corp located?

Eastern Medical Group Corp is located at 8900 Coral Way Suite 202, Miami, FL 33165. The listed phone number is (305) 392-0765.

What is Eastern Medical Group Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Eastern Medical Group Corp enrolled in Medicare?

Yes. Eastern Medical Group Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Medical Group Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Eastern Medical Group Corp, in Family Practice, General Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eastern Medical Group Corp accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Eastern Medical Group Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eastern Medical Group Corp was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.