Individual provider Active NPI

Jesus Viloria, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Doral, FL
National Provider Identifier
1083622427
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME61793 Issued in FL
Practice address
2678 NW 97TH Ave
Doral, FL 33172-1400
Phone
(305) 640-1786
Fax
(305) 640-1788
NPI assigned
Aug 3, 2006
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME61793 FL Primary

Addresses

Primary practice location

2678 NW 97TH Ave
Doral, FL 33172-1400

Mailing address

2678 NW 97TH Ave
Doral, FL 33172-1400
Phone (305) 640-1786

Other identifiers 2

IdentifierTypeStateIssuer
104016600MedicaidFL
ME0061793OtherFLFLORIDA LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sdelazaro@gastromedmiami.com

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
I20080711000483 FL Practitioner - Pathology 8729150461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Coast Pathology Associates, PAGroup PAC ID 4981596145, 4 clinicians

Practice addresses (Care Compare)

1100 NW 95 St
Miami, FL 33150-2038
Phone (305) 835-6107

Hospital & facility affiliations

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME61793FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Pathology Associates, PA Anatomic Pathology & Clinical Pathology CurrentSince Mar 31, 2026 Accepting new patients

Locations

10230 W State Road 84
Davie, FL 33324
Phone 95442491072130

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

Organizations & group practices 1

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.

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1083622427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2678 NW 97TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721400",
            "telephone_number": "305-640-1786",
            "fax_number": "305-640-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2678 NW 97TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721400",
            "telephone_number": "305-640-1786",
            "fax_number": "305-640-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILORIA",
        "first_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME61793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104016600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE NUMBER",
            "identifier": "ME0061793",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sdelazaro@gastromedmiami.com",
            "affiliation": "N",
            "address_1": "2678 NW 97th Ave",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331721400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.