Individual provider Active NPI

Xiomara Alcala, M.D.

  • Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1134540297
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME121568 Issued in FL
Practice address
3850 W Flagler St
Coral Gables, FL 33134-1604
Phone
(305) 774-3300
NPI assigned
Dec 16, 2013
Last updated
Nov 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME121568 FL Primary

Addresses

Primary practice location

3850 W Flagler St
Coral Gables, FL 33134-1604

Mailing address

6100 Blue Lagoon Dr Ste 400
Miami, FL 33126-2080
Phone (305) 398-6100

Other identifiers 1

IdentifierTypeStateIssuer
013613000MedicaidFL

Other names 1

  • Xiomara Sampedro Former name

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
I20141231000960 FL Practitioner - PsychiatryPractitioner - General PracticePractitioner - Neuropsychiatry 7214250091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: General Practice, Neuropsychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Medical Rehabilitation CorpGroup PAC ID 5698082113, 3 clinicians

Practice addresses (Care Compare)

1840 W 49TH St
Suite 607
Hialeah, FL 33012-2962
Phone (305) 527-7976

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leon Medical Centers LLC CurrentSince Dec 2, 2024 Accepting new patients
Therapy Medical Rehabilitation Corp CurrentSince Oct 1, 2024 Accepting new patients

Locations

8600 NW 41st St
Doral, FL 33166
Phone (305) 642-1511

1840 W 49th St
Ste 607
Hialeah, FL 33012
Phone (305) 527-7976

11501 SW 40th St
Miami, FL 33165
Phone (305) 646-3716

Interoperability endpoints

  • Direct secure messaging: xalcala@mbmg.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1134540297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262080",
            "telephone_number": "305-398-6100",
            "fax_number": "305-757-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 W FLAGLER ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341604",
            "telephone_number": "305-774-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCALA",
        "first_name": "XIOMARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME121568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013613000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XIOMARA",
            "last_name": "SAMPEDRO",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.