OPTIMAL HEALTH MEDICAL CENTER INC
NPI 1194296954
General Practice in Miami Gardens, FL

Active since December 05, 2018CLIA 10D2160829 · Waiver
17235 NW 27TH AVE, MIAMI GARDENS, FL 33056(305) 705-4024 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2023, Mar 6, 2019, Dec 5, 2018 (3 updates tracked since 2018).

About Optimal Health Medical Center Inc NPPES

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

OPTIMAL HEALTH MEDICAL CENTER INC (NPI 1194296954) is a healthcare organization registered as a general practice in Miami Gardens, Florida and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Abraham Hollist, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194296954
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameOPTIMAL HEALTH MEDICAL CENTER INC
Location Address17235 NW 27TH AVEMiami Gardens, FL 33056-4418
Mailing Address17235 Nw 27th AveMiami Gardens, FL 33056-4418 · (305) 705-4024
Organization SubpartNo
Authorized OfficialAbraham HollistCeo · (305) 465-3203
Enumeration DateDecember 5, 2018
Last NPPES UpdateMay 23, 20233 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
✔ NPI 1194296954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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
17235 NW 27TH AVE, Miami Gardens, FL 33056

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Optimal Health Medical Center Inc 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 Optimal Health Medical Center Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1144945536
1380 NE MIAMI GARDENS DR STE 273
North Miami Beach, FL 33179
(305) 627-3972
✔ PECOS✔ Accepts Medicare4.5 mi
Internal Medicine
NPI 1881919033
1190 NW 95TH ST SUITE 406
Miami, FL 33150
(305) 836-6221
✔ PECOS5.3 mi
Nurse Practitioner
NPI 1235674169
690 NW 72ND TER
Hollywood, FL 33024
(407) 718-0373
✔ PECOS5.8 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2160829

Optimal Health Medical Center · Miami Gardens, FL
Active · expires Jan 17, 2027
CLIA Number10D2160829
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorFanuel Dorilas
Laboratory Phone(305) 705-4024
Laboratory LocationOptimal Health Medical Center17235 NW 27 Ave, Miami Gardens, FL 33056
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Optimal Health Medical Center Inc's NPI number?

The NPI number for Optimal Health Medical Center Inc is 1194296954. It was assigned to this organization in the NPPES registry on December 5, 2018.

Where is Optimal Health Medical Center Inc located?

Optimal Health Medical Center Inc is located at 17235 NW 27th Ave, Miami Gardens, FL 33056. The listed phone number is (305) 705-4024.

What is Optimal Health Medical Center Inc's specialty?

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

Is Optimal Health Medical Center Inc enrolled in Medicare?

Yes. Optimal Health Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optimal Health Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Optimal Health Medical Center Inc, in Internal Medicine 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Optimal Health Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2160829) is associated with this NPI, valid through January 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Optimal Health Medical Center Inc accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Wellpoint list Optimal Health Medical Center Inc 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 Optimal Health Medical Center Inc was last updated on May 23, 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.