Individual provider Active NPI

Carlos Ernesto Vaca, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Miami, FL
National Provider Identifier
1154437028
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME67188 Issued in FL
Practice address
8260 W Flagler St Ste 2H
Miami, FL 33144-2069
Phone
(305) 229-0551
Fax
(305) 229-1823
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME67188 FL Primary

Addresses

Primary practice location

8260 W Flagler St Ste 2H
Miami, FL 33144-2069

Mailing address

8260 W Flagler St Ste 2H
Miami, FL 33144-2069
Phone (305) 229-0551

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
I20041122000686 FL Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9537124201 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Nova Medical Services LLCGroup PAC ID 1759705148, 30 clinicians
Nova Hospitalist Group LLCGroup PAC ID 8426436742, 16 clinicians

Practice addresses (Care Compare)

8260 W Flager St
Miami, FL 33144-2069

8260 W Flagler St
Suite 2H
Miami, FL 33144-2069
Phone (305) 229-0551

Hospital & facility affiliations

  • Home Preferred Solution Corp Home health agency, Miami, FL, CCN 109591

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services LLC CurrentSince Sep 11, 2023 Accepting new patients
Nova Hospitalist Group LLC CurrentSince Sep 11, 2023 Accepting new patients
Complete Care Management Services Aco LLC CurrentSince Jun 21, 2024 Accepting new patients
Carlos E Vaca MD PA CurrentSince Jul 31, 2010 Accepting new patients
Vaca in Hospital Enterprises. Inc CurrentSince Apr 5, 2022 Accepting new patients
General Rehabilitation Facility Co CurrentSince Mar 22, 2018 Accepting new patients
Vaca Abraham MD Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

600 E 25th St
Ste F
Hialeah, FL 33013
Phone (305) 691-0112

625 Commerce Dr
Ste 105
Lakeland, FL 33813
Phone (877) 212-2267

8260 W Flagler St
Ste 2H
Miami, FL 33144
Phone (305) 229-0551

3400 Lakeside Dr
Ste 525
Miramar, FL 33027
Phone (877) 212-2267

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

Interoperability endpoints

  • Direct secure messaging: carlosvaca@cevmp-fl.direct.office.nextgen.com
  • Direct secure messaging: carlos_vaca@yourcarecommunity.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGBIBD

Organizations & group practices 7

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 1

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1154437028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST STE 2H",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "305-229-0551",
            "fax_number": "305-229-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST STE 2H",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "305-229-0551",
            "fax_number": "305-229-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACA",
        "first_name": "CARLOS",
        "middle_name": "ERNESTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME67188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.