Individual provider Active NPI

Sheila Ivette Carbonell, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami Lakes, FL
National Provider Identifier
1245291426
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME96216 Issued in FL
Practice address
16060 NW 83Rd PL
Miami Lakes, FL 33016-6736
Phone
(786) 216-9960
NPI assigned
Mar 29, 2006
Last updated
Nov 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 225752 NY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME96216 FL Primary

Addresses

Primary practice location

16060 NW 83Rd PL
Miami Lakes, FL 33016-6736

Mailing address

16060 NW 83Rd PL
Miami Lakes, FL 33016-6736
Phone (786) 216-9960

Other identifiers 2

IdentifierTypeStateIssuer
02530298MedicaidNY
278695800MedicaidFL

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
I20071106000091 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6305827296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

14701 NW 77TH Ave
Miami Lakes, FL 33014-2500
Phone (786) 662-0700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225752NYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Criticare Clinics Inc CurrentSince May 1, 2015 Accepting new patients
Regional Physician Services, PC Geriatric Medicine PastSince Mar 10, 2009 Accepting new patients

Locations

10 Giralda Ave
Coral Gables, FL 33134
Phone (786) 459-5000

1240 S Dixie Hwy
Coral Gables, FL 33146
Phone (305) 669-2833

6264 W Sample Rd
Coral Springs, FL 33067
Phone (954) 837-1010

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

9915 NW 41st St
Doral, FL 33178
Phone (305) 271-8851

2660 Brickell Ave
Miami, FL 33129
Phone (786) 467-5320

8400 NW 53rd St
Miami, FL 33166

709 Alton Rd
Ste 440
Miami Beach, FL 33139
Phone (786) 595-8220

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300

1228 S Pine Island Rd
Ste 110
Plantation, FL 33324
Phone (305) 669-2833

12472 W Sunrise Blvd
Sunrise, FL 33323
Phone (305) 297-3561

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4

Organizations & group practices 2

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.

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1245291426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16060 NW 83RD PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166736",
            "telephone_number": "786-216-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16060 NW 83RD PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166736",
            "telephone_number": "786-216-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONELL",
        "first_name": "SHEILA",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "225752",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME96216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02530298",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278695800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.