Active NPI
Mario R Palomino, MD
- General Practice Physician
- Hialeah, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME87046
- Practice address
- 3805 W 20TH Ave
Suite 105
Hialeah, FL 33012-4532 - Phone
- (305) 557-2277
- Fax
- (305) 557-2278
- NPI assigned
- Aug 7, 2006
- Last updated
- Jan 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME87046 | FL | Primary |
Addresses
Primary practice location
3805 W 20TH Ave
Suite 105
Hialeah, FL 33012-4532
Mailing address
6100 Blue Lagoon Dr Ste 365
Miami, FL 33126-7010
Phone (786) 322-7333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263813401 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mario.palomino@cmg.eclinicaldirectplus.com | Other |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3805 W 20TH Ave
Suite 105
Hialeah, FL 33012-4532
Phone (305) 557-2277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Group of Westchester, LLC. | General Practice | Current | Accepting new patients |
| Access Medical Group of Hialeah, LLC. | General Practice | Current | Accepting new patients |
| Access Medical Group of Miami, LLC. | General Practice | Current | Accepting new patients |
| American Technical Academy Group Corp | Past | Accepting new patients | |
| Doctor's Medical Center, LLC | Past | Accepting new patients | |
| Continental Rehab Center, Inc | Past | Accepting new patients | |
| Ideal Medical Center of Miami | Past | Accepting new patients | |
| Comprehensive Community Guidance Center Inc | Past | Accepting new patients | |
| Anesthesia Consultants of South Florida Inc | Past | Accepting new patients |
Locations
3805 W 20th Ave
Ste 105
Hialeah, FL 33012
Phone (305) 557-2277
1490 NW 27th Ave
Ste 130
Miami, FL 33125
Phone (305) 635-7710
1621 SW 107th Ave
Miami, FL 33165
Phone (786) 422-6525
6100 Blue Lagoon Dr
Ste 365
Miami, FL 33126
Phone (786) 322-7333
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IAFJBD
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Community Medical Group
- Family Medicine Physician
- Hialeah, FL
- NPI 1427330091
General Practice
-
dba Community Medical Group
- Family Medicine Physician
- Miami, FL
- NPI 1619259264
General Practice
-
dba Community Medical Group
- Family Medicine Physician
- Miami, FL
- NPI 1184906646
General Practice
-
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1205846748
-
- Specialist
- Miami, FL
- NPI 1891876264
-
- Health Service Clinic/Center
- Miami, FL
- NPI 1366460396
-
- Geriatric Physical Therapist
- Miami, FL
- NPI 1316050735
-
dba DMC Health Medical Centers
- Internal Medicine Physician
- Miami, FL
- NPI 1215981618
-
- Family Medicine Physician
- Miami, FL
- NPI 1336473917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1043229164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 BLUE LAGOON DR STE 365",
"city": "MIAMI",
"state": "FL",
"postal_code": "331267010",
"telephone_number": "786-322-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 W 20TH AVE",
"address_2": "SUITE 105",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124532",
"telephone_number": "305-557-2277",
"fax_number": "305-557-2278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALOMINO",
"first_name": "MARIO",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME87046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263813401",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mario.palomino@cmg.eclinicaldirectplus.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "health information has changed",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "3805 W 20th Ave",
"address_2": "Suite 105",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330124532",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.