Individual provider Active NPI

Manuel R Padron, MD

  • Urology Physician
  • Coral Gables, FL
National Provider Identifier
1033189196
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME 54681 Issued in FL
Practice address
2931 Coral Way
Coral Gables, FL 33145-3205
Phone
(305) 448-4431
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME 54681 FL Primary

Addresses

Primary practice location

2931 Coral Way
Coral Gables, FL 33145-3205

Mailing address

2931 Coral Way
Coral Gables, FL 33145-3205
Phone (305) 448-4431

Other identifiers 5

IdentifierTypeStateIssuer
14799OtherFLBCBS
370831400MedicaidFL
5907284OtherFLAETNA
001031OtherFLNHP
248269OtherFLAVMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050218000590 FL Practitioner - Urology 1951367192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

2931 Coral Way
Medipath Pathology Services
Miami, FL 33145-3201
Phone (786) 464-0749

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

8501 SW 124TH Ave
112 Epe LLC
Miami, FL 33183-4631
Phone (305) 279-9906

Hospital & facility affiliations

  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314
  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • South Miami Hospital Hospital, Miami, FL, CCN 100154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 54681FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Urology CurrentSince Feb 29, 2012 Accepting new patients
Urology Specialty Group LLC Urology Past Accepting new patients

Locations

9055 SW 87th Ave
Ste 311
Miami, FL 33176
Phone (904) 791-0991

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

8501 SW 124th Ave
Ste 112
Miami, FL 33183
Phone (305) 273-6001

2931 Coral Way
Miami, FL 33145
Phone (305) 444-0074

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1033189196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453205",
            "telephone_number": "305-448-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453205",
            "telephone_number": "305-448-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON",
        "first_name": "MANUEL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME 54681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14799",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370831400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5907284",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "001031",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "248269",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.