Individual provider Active NPI

Ivan Dario Camacho, M.D.

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1194999227
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME109790 Issued in FL
Practice address
1600 NW 10TH Ave # 2023a
Miami, FL 33136-1015
Phone
(305) 243-4472
NPI assigned
Apr 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME109790 FL Primary

Addresses

Primary practice location

1600 NW 10TH Ave # 2023a
Miami, FL 33136-1015

Mailing address

79 SW 12TH St PH 3907
Miami, FL 33130-5215
Phone (305) 987-9375

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
I20110922000673 FL Practitioner - Dermatology 9931370996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1150 NW 14TH St
410 Pac
Miami, FL 33136-2115
Phone (305) 243-3100

1400 NW 12TH Ave
Miami, FL 33136-1003

1400 NW 12TH Ave 1St FL
Miami, FL 33136-1003

1400 NW 12TH Ave 1St FLR
Umhc Uhealth Tower
Miami, FL 33136-1003

1400 NW 12TH Ave 1St FLR Gi Ctr
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 243-4598

1400 NW 12TH Ave 5TH FLR Sicu
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 355-5241

1400 NW 12TH Ave E
Miami, FL 33136-1003

1400 NW 12TH Ave E BLDG 4TH FLR
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 689-5437

1400 NW 12TH Ave East
5 Reproductive Endocrinology and Fertility Ce
Miami, FL 33136-1003
Phone (305) 243-3371

1400 NW 12TH Ave ENT-7
University of Miami Hospital
Miami, FL 33136-1003
Phone (305) 355-1684

1400 NW 12TH Ave Hematology Consult
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 689-2023

1400 NW 12TH Ave ICU
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 243-0783

1400 NW 12TH Ave Mob
Ste3 Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 243-2020

1400 NW 12TH Ave RM
2064 University of Miami Hospital
Miami, FL 33136-1003
Phone (954) 210-1095

1601 NW 12TH Ave
Miami, FL 33136-1005

1601 NW 12TH Ave 1St FL
Miami, FL 33136-1005

1601 NW 12TH Ave 1St FLR
Miami, FL 33136-1005

1601 NW 12TH Ave Room
2060 MCCD
Miami, FL 33136-1005
Phone (305) 585-5635

1601 NW 12TH Avenue 5065 /
5TH Mailman Center for Child Development
Miami, FL 33136-1005
Phone (305) 243-6251

1611 NW 12 Ave
Miami, FL 33136-1005

1611 NW 12 TH Ave
Jackson Memorial Hospital
Miami, FL 33136-1005
Phone (305) 355-5000

1611 NW 12TH
3B Jackson Memorial Hospital Acc West
Miami, FL 33136-1005
Phone (305) 585-7476

1611 NW 12TH Ave 2ND FL
Miami, FL 33136-1005

1611 NW 12TH Ave 2ND FLR
Miami, FL 33136-1005

1611 NW 12TH Ave 5TH Floor
Acc Clinic West JMH
Miami, FL 33136-1005
Phone (305) 243-4211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions539
Removal of nail tissue11
Skin biopsy245

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
University of Miami Current Accepting new patients
Susana Leal-Khouri, Mdpa Dermatology CurrentSince Mar 21, 2013 Accepting new patients
Alaska Native Tribal Health Consortium Current Accepting new patients
University of Miami Dermatology CurrentSince Jan 1, 2020 Accepting new patients
Ivan D Camacho MD PA Dermatology Past Accepting new patients
University of Miami Past Accepting new patients
University of Miami Past Accepting new patients

Locations

580 Crandon Blvd
Ste 101
Key Biscayne, FL 33149
Phone (305) 361-8200

1150 NW 14th St
Miami, FL 33136
Phone (305) 243-6165

1600 NW 10th Ave
#2023A
Miami, FL 33136
Phone (305) 243-4472

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1475 NW 12th Ave
#2
Miami, FL 33136

1150 NW 14th St
Ste 410
Miami, FL 33136
Phone (305) 243-7570

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: idcamacho@direct.anthc.org
  • Direct secure messaging: icamacho8244@direct.med.miami.edu

Organizations & group practices 8

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": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1194999227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SW 12TH ST PH 3907",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331305215",
            "telephone_number": "305-987-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NW 10TH AVE # 2023A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361015",
            "telephone_number": "305-243-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "IVAN",
        "middle_name": "DARIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME109790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.