Individual provider Active NPI

Juan Lopetegui, MD

  • Pulmonary Disease Physician
  • Palmetto Bay, FL
National Provider Identifier
1114915105
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME87214 Issued in FL
Practice address
8750 SW 144TH St
Suite 208
Palmetto Bay, FL 33176-7296
Phone
(305) 485-4043
Fax
(305) 485-3591
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME 87214 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME87214 FL
Pulmonary Disease Physician 207RP1001X ME87214 FL Primary

Addresses

Primary practice location

8750 SW 144TH St
Suite 208
Palmetto Bay, FL 33176-7296

Mailing address

8600 SW 92ND St Ste 204a
Miami, FL 33156-7377
Phone (305) 436-9933

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
I20050809000105 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3476547936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Physicians of South Florida LLCGroup PAC ID 1850360397, 39 clinicians

Practice addresses (Care Compare)

20601 Old Cutler Rd
Cutler Bay, FL 33189-2441
Phone (305) 251-3800

5000 University Dr
Coral Gables, FL 33146-2008
Phone (305) 779-7381

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-1960

Hospital & facility affiliations

  • Homestead Hospital Hospital, Homestead, FL, CCN 100125
  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Mariners Hospital Hospital, Tavernier, FL, CCN 101313
  • Jackson Health System Hospital, Miami, FL, CCN 100022

Merit-based Incentive Payment System (MIPS)

Final score
41.58 of 100Reported as individual
Quality
28.33
Improvement activities
20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 87214FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Physicians of South Florida LLC Critical Care Medicine CurrentSince Jan 28, 2010 Accepting new patients
New York Community Hospital of Brooklyn, Inc. Pulmonary Disease Past Accepting new patients
Professional Healthcare Associates LLC Critical Care Medicine Past Accepting new patients

Locations

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8600 SW 92nd St
Ste 204A
Miami, FL 33156
Phone (305) 436-9933

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

8750 SW 144th St
Ste 208
Palmetto Bay, FL 33176
Phone (305) 259-6166

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1114915105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SW 92ND ST STE 204A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567377",
            "telephone_number": "305-436-9933",
            "fax_number": "305-500-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 SW 144TH ST",
            "address_2": "SUITE 208",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767296",
            "telephone_number": "305-485-4043",
            "fax_number": "305-485-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPETEGUI",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 87214",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME87214",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME87214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.