Carlos Wiltz, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 9106832 Issued in FL

Practice address

8940 N Kendall Dr Ste 101E
Miami, FL 33176-2166

Phone

(305) 520-5625

Fax

(305) 520-5628

NPI assigned

Sep 24, 2012

Last updated

Sep 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Derm Group LLPGroup PAC ID 9335478908, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• The Derm Group LLP

  • Dermatology Physician
  • Coral Gables, FL
  • NPI 1801448519
  Medicare reassignment Care Compare group
• Hector Wiltz Jr, M.D

  • Dermatology Physician
  • Miami, FL
  • NPI 1851404479
  Medicare reassignment

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1205187747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR STE 101E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762166",
            "telephone_number": "305-520-5625",
            "fax_number": "305-520-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR STE 101E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762166",
            "telephone_number": "305-520-5625",
            "fax_number": "305-520-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTZ",
        "first_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9106832",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 9106832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tihesha L Wilson, MD
• Woodrow Wilson, PH.D.
• Mabel Wilt, MSN, APRN, FNP-C
• Hector Wiltz Jr, M.D
• Wiltz Medical Group Inc
• Melissa Page Winch, DNP, BSC., FNP-C, RN
• Charles Parker Windham, MD
• Harry Louis Wine, MD
• Victoria Pereira Wine, MS
• Danielle Winer

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.