Douglas Portillo, MD

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

ME84645 Issued in FL

Practice address

5000 University Dr
Coral Gables, FL 33146-2008

Phone

(305) 928-7249

Fax

(306) 630-3632

NPI assigned

Oct 12, 2005

Last updated

Nov 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Critical Care (Intensivists)Also: Pulmonary Disease

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Florida Critical Care Services LLCGroup PAC ID 2466714241, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
• South Miami Hospital Hospital, Miami, FL, CCN 100154

Merit-based Incentive Payment System (MIPS)

Final score

97.25 of 100Reported as individual

Quality

85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• South Florida Critical Care Services LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1306354626
  Medicare reassignment Care Compare group NPD Authorized official
• Pulmonary Medicine Services LLC

  • Pulmonary Disease Physician
  • Miami, FL
  • NPI 1457269847
  Authorized official Same address or phone
• Prager Simon & Associates LLP

  dba Intensive Care Services

  • Critical Care Medicine (Internal Medicine) Physician
  • Pinecrest, FL
  • NPI 1467558817
  NPD (past)
• Professional Healthcare Associates LLC

  dba Intensive Care Services

  • Pulmonary Disease Physician
  • Pinecrest, FL
  • NPI 1760660021

  Critical Care Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital, Inc.

  • General Acute Care Hospital
  • Coral Gables, FL
  • NPI 1952351983
  Care Compare affiliation
• South Miami Hospital Inc

  • General Acute Care Hospital
  • South Miami, FL
  • NPI 1982688230
  Care Compare affiliation

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1205824299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8370 W FLAGLER ST STE 226",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442040",
            "telephone_number": "305-928-7249",
            "fax_number": "305-630-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 UNIVERSITY DR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462008",
            "telephone_number": "305-928-7249",
            "fax_number": "306-630-3632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762118",
            "country_code": "US",
            "telephone_number": "786-596-1960 x56513",
            "fax_number": "305-666-2252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 84645",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME84645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265847000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica M. Ponce I
• Paula Louise Ponce, M.A., L.M.H.C.
• Mirta Caridad Pont, LCSW
• Population Health Associates
• Samantha Portalatin
• Isabel Cristina Porto
• Jose E Portuondo, M.D.
• Alejandro Posada, MD
• Jennifer Posada, APRN, FNP-BC
• Jorge Luis Posada, MD

• Critical Care Medicine (Internal Medicine) Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Critical Care Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.