Organization Active NPI

Basicare Florida PA

  • Allergy & Immunology Physician
  • South Miami, FL
National Provider Identifier
1174491401
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
BASICARE FLORIDA PA
Practice address
6705 SW 57TH Ave Ste 318
South Miami, FL 33143-3638
Phone
(786) 800-9998
NPI assigned
Oct 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Yong Luo, MDNPI 1902130628
Title
MD/President
Phone
(718) 886-2828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

6705 SW 57TH Ave Ste 318
South Miami, FL 33143-3638

Mailing address

6705 SW 57TH Ave Ste 318
South Miami, FL 33143-3638
Phone (786) 800-9998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251202000832 FL Part B Supplier - Clinic/Group Practice 5698268365 Receives reassigned benefits from 1 practitioner
Practice locations: South Miami, FL

National Provider Directory

National Provider Directory

Locations

6705 SW 57th Ave
Ste 318
South Miami, FL 33143
Phone (305) 665-1623

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1174491401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 SW 57TH AVE STE 318",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433638",
            "telephone_number": "786-800-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 SW 57TH AVE STE 318",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433638",
            "telephone_number": "786-800-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASICARE FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "LUO",
        "authorized_official_first_name": "YONG",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "718-886-2828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.