Individual provider Active NPI

Octavio Vasconcello-Cohen, M.D.

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1144315482
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME87386 Issued in FL
Practice address
8224 Mills Dr
Miami, FL 33183-4805
Phone
(305) 200-3992
Fax
(844) 798-8917
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME87386 FL Primary

Addresses

Primary practice location

8224 Mills Dr
Miami, FL 33183-4805

Mailing address

8224 Mills Dr
Miami, FL 33183-4805
Phone (305) 200-3992

Other practice location 1

11880 SW 40th St Ste 319
Miami, FL 33175-3574
Phone (305) 200-3992

Other identifiers 1

IdentifierTypeStateIssuer
267813600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87386FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vasconcello-Cohen M.D PA Pediatrics PastSince Feb 26, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vasconcello-cohen.octavio.006.0090302@ovc.meditab.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1144315482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8224 MILLS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834805",
            "telephone_number": "305-200-3992",
            "fax_number": "844-798-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 MILLS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834805",
            "telephone_number": "305-200-3992",
            "fax_number": "844-798-8917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11880 SW 40th St Ste 319",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753574",
            "country_code": "US",
            "telephone_number": "305-200-3992",
            "fax_number": "786-653-6102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASCONCELLO-COHEN",
        "first_name": "OCTAVIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME87386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267813600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.