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JACKSON MEMORIAL HOSPITAL PEDI RENAL
NPI 1386714418
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Miami, FL

Active since November 08, 2006
1/5
Overall Rating
1611 NW 12TH STREET, MIAMI, FL 33136(305) 585-8490(305) 355-2377 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Memorial Hospital Pedi Renal NPPES

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

JACKSON MEMORIAL HOSPITAL PEDI RENAL (NPI 1386714418) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Miami, Florida and active in the NPI registry since November 2006. The organization lists Mark T Knight, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1386714418
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Location Address1611 NW 12TH STREETMiami, FL 33136-1005
Mailing AddressPo Box 12493Miami, FL 33101-2493 · (786) 466-8080 · Fax (305) 355-5380
Phone(305) 585-8490
Fax(305) 355-2377
Organization SubpartYesParent: Public Health Trust Of Miami Dade County
Authorized OfficialMark T KnightChief Financial Officer · (305) 585-7979
Enumeration DateNovember 8, 2006
Last NPPES UpdateApril 6, 2017
✔ NPI 1386714418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in FL · 3998
1611 NW 12TH STREET, Miami, FL 33136
Open in Google Maps ↗

Other Names 1

Doing Business AsJackson Memorial Hospital Pedi Renal

Other Identifiers 2

Medicaid010042100FL
Medicare OSCAR/certification102304FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Molina Healthcare.Insurance ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Jackson Memorial Hosp Dialysis Pediatric (CMS certification number 102304), from CMS Care Compare.

Jackson Memorial Hosp Dialysis Pediatric

Dialysis facility · Miami, FL
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
CMS Certification Number102304
ESRD NetworkNetwork 7
Hemodialysis Stations8
Medicare-Certified SinceSeptember 1, 1976
Location1611 NW 12TH AVEMiami, FL 33136 · Miami-Dade County
Phone(305) 585-5372
Services Offered
In-center hemodialysis Peritoneal dialysis

Other Providers at the Same Location NPPES 6

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

PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
General Acute Care Hospital
1611 NW 12TH STREET
MIAMI, FL 33136
Miami-Dade County (305) 585-8957
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Rehabilitation Unit
1611 NW 12TH STREET
MIAMI, FL 33136
Miami-Dade County (305) 585-8490
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
Psychiatric Unit
1611 NW 12TH STREET
MIAMI, FL 33136
Miami-Dade County (305) 585-8490
DR. MATTHEW EVAN WYKE MBBS
Student in an Organized Health Care Education/Training Program
1611 NW 12TH STREET, SUITE 600-D
MIAMI, FL 33136
Miami-Dade County (305) 585-4310
DAN MORGENSTERN KAPLAN M.D.
Student in an Organized Health Care Education/Training Program
1611 NW 12TH STREET, SUITE 600-D
MIAMI, FL 33136
Miami-Dade County (305) 585-4310
SACHALEE C CAMPBELL
Student in an Organized Health Care Education/Training Program
1611 NW 12TH STREET, SUITE 600-D
MIAMI, FL 33136
Miami-Dade County (305) 585-4310

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 Public Health Trust Of Miami Dade County Florida's NPI number?

The NPI number for Public Health Trust Of Miami Dade County Florida is 1386714418. It was assigned to this organization in the NPPES registry on November 8, 2006. The provider is doing business as Jackson Memorial Hospital Pedi Renal.

Where is Public Health Trust Of Miami Dade County Florida located?

Public Health Trust Of Miami Dade County Florida is located at 1611 NW 12th Street, Miami, FL 33136. The listed phone number is (305) 585-8490.

What is Public Health Trust Of Miami Dade County Florida's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Public Health Trust Of Miami Dade County Florida a Medicare-certified dialysis facility?

Yes. Jackson Memorial Hosp Dialysis Pediatric is a Medicare-certified dialysis facility, certified since September 1, 1976.

What quality rating does Public Health Trust Of Miami Dade County Florida have?

CMS rates Jackson Memorial Hosp Dialysis Pediatric 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Public Health Trust Of Miami Dade County Florida accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Molina Healthcare list Public Health Trust Of Miami Dade County Florida 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 Public Health Trust Of Miami Dade County Florida was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.