1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Physician Assistant
  6. NPI Profile

ABDUL SAMAD MEMON PA-C
NPI 1104128305
Physician Assistant in Miami, FL

Active since November 22, 2010PECOS Enrolled
14150 SW 136TH ST, MIAMI, FL 33186(786) 204-4600 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abdul Samad Memon Pa-c NPPES

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

ABDUL SAMAD MEMON PA-C (NPI 1104128305) is an individual physician assistant in Miami, Florida, licensed in Florida (PA9105666) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Longwood.

NPPES Registry Identity

NPI1104128305
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameABDUL SAMAD MEMONCredential: PA-C
Location Address14150 SW 136TH STMiami, FL 33186-5506
Mailing Address6200 Sunset Dr Ste 302South Miami, FL 33143-4829 · (786) 888-8820
Phone(786) 204-4600
Sole ProprietorNo
Enumeration DateNovember 22, 2010
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1104128305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9105666
Definition
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.
14150 SW 136TH ST, Miami, FL 33186
Open in Google Maps ↗

Secondary Practice Location 1

Location 1450 W SR 434 Ste 3010Longwood, FL 32750-5196 · Phone (407) 767-8200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abdul Samad Memon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33186 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMERGENT PHYSICIANS OF COUNTRY WALK, LLC
Emergency Medicine
14150 SW 136TH ST
MIAMI, FL 33186
Miami-Dade County (786) 204-4600
MICHAEL RONSELLI APRN
Nurse Practitioner (Family)
14150 SW 136TH ST
MIAMI, FL 33186
Miami-Dade County (786) 204-4600
MR. ROBERT J BERTOT PA-C
Physician Assistant (Medical)
14150 SW 136TH ST
MIAMI, FL 33186
Miami-Dade County (786) 888-8820
WILLIAM REID HEERSINK MD
Emergency Medicine
14150 SW 136TH ST
MIAMI, FL 33186
Miami-Dade County (786) 204-4600
DIEGO F ESTRADA APRN
Nurse Practitioner (Acute Care)
14150 SW 136TH ST
MIAMI, FL 33186
Miami-Dade County (786) 301-3260
DR. KRISTINE MASCARINAS D.O.
Emergency Medicine
14150 SW 136TH ST
MIAMI, FL 33186
Miami-Dade County (786) 204-4600
DR. JENNIFER Y. HWANG DO
Emergency Medicine
14150 SW 136TH ST
MIAMI, FL 33186
Miami-Dade County (786) 204-4600
DIANA MARIA ALVAREZ-JACINTO PA-C
Physician Assistant
14150 SW 136TH ST
MIAMI, FL 33186
Miami-Dade County (786) 204-4600

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 Abdul Memon's NPI number?

The NPI number for Abdul Memon is 1104128305. It was assigned to this individual provider in the NPPES registry on November 22, 2010.

Where is Abdul Memon located?

Abdul Memon practices at 14150 SW 136th St, Miami, FL 33186. The listed phone number is (786) 204-4600.

What is Abdul Memon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Abdul Memon enrolled in Medicare?

Yes. Abdul Memon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abdul Memon was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.