Individual provider Active NPI

Erik Carrasco, M.D

  • Internal Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1073762043
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100206 Issued in FL
Practice address
15476 NW 77TH CT # 249
Miami Lakes, FL 33016-5823
Phone
(917) 680-9826
NPI assigned
Sep 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X ME 100206 FL
Internal Medicine Physician 207R00000X ME100206 FL Primary

Addresses

Primary practice location

15476 NW 77TH CT # 249
Miami Lakes, FL 33016-5823

Mailing address

8350 NW 157TH Ter
Miami Lakes, FL 33016-6601

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
I20100623000446 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 2163557489 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3746 W 12TH Ave
Hialeah, FL 33012-4126
Phone (305) 548-8497

Hospital & facility affiliations

  • Home Life, LLC Home health agency, Miami, FL, CCN 109363
  • Palmetto General Hospital Hospital, Hialeah, FL, CCN 100187

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 100206FLMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Azul Medical Center Corp Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Paragon Contracting Services LLC CurrentSince Feb 15, 2011 Accepting new patients
Larkin Emergency Physicians LLC CurrentSince Jan 1, 2021 Accepting new patients
Duval Emergency Group LLC CurrentSince Oct 17, 2010 Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

3746 W 12th Ave
Hialeah, FL 33012
Phone (305) 548-8497

1550 W 84th St
Hialeah, FL 33014
Phone (305) 308-8068

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Organizations & group practices 4

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 2

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1073762043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 NW 157TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15476 NW 77TH CT # 249",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165823",
            "telephone_number": "917-680-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "ERIK",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "ME 100206",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.