Individual provider Active NPI

Gerardo Felix Capote Duenas, MD

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1225234834
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ACN1259 Issued in FL
Practice address
1199 W Flagler St Ste 10
Miami, FL 33130-1055
Phone
(305) 326-8887
NPI assigned
Jun 22, 2007
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 15290 PR
Pediatrics Physician 208000000X ACN1259 FL Primary

Addresses

Primary practice location

1199 W Flagler St Ste 10
Miami, FL 33130-1055

Mailing address

10240 SW 56TH St Ste 109
Miami, FL 33165-7066
Phone (786) 586-4176

Other identifiers 1

IdentifierTypeStateIssuer
107118700MedicaidFL

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
I20230501002134 FL Practitioner - Pediatric Medicine 8820453632 Practice locations: Miami, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15290PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Lakes Pediatrics PLLC Pediatrics CurrentSince Feb 8, 2023 Accepting new patients
Palazzo Mental Health LLC Pediatrics Past Accepting new patients
Miami Lakes Pediatrics PLLC Pediatrics PastSince Feb 8, 2023 Accepting new patients

Locations

1199 W Flagler St
Ste 10
Miami, FL 33130
Phone (305) 326-8887

Interoperability endpoints

  • Direct secure messaging: gerardo.capote.duenas.1@19861.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19861/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1225234834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 SW 56TH ST STE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657066",
            "telephone_number": "786-586-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 W FLAGLER ST STE 10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301055",
            "telephone_number": "305-326-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPOTE DUENAS",
        "first_name": "GERARDO",
        "middle_name": "FELIX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2023-01-31",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "15290",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ACN1259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107118700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.