Organization Active NPI

Carlos Piniella MD PA

  • Allergy Physician
  • Palmetto Bay, FL
National Provider Identifier
1255483905
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
CARLOS PINIELLA MD PA
Practice address
9275 SW 152ND Street
Suite 210
Palmetto Bay, FL 33157-1774
Phone
(305) 255-9577
Fax
(305) 255-3115
NPI assigned
Jan 16, 2007
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Carlos Jesus Piniella, MDNPI 1649223132
Title
Owner
Phone
(305) 666-0726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X ME0062377 FL
Allergy PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207KA0200X Primary
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207KI0005X

Addresses

Primary practice location

9275 SW 152ND Street
Suite 210
Palmetto Bay, FL 33157-1774

Mailing address

6705 SW 57TH Ave Ste 520
South Miami, FL 33143-3649
Phone (305) 666-0726

Other practice location 1

6705 SW 57th Ave Ste 520
South Miami, FL 33143-3649
Phone (305) 666-0726

Other practice location 2

3712 N Roosevelt Blvd Unit C
Key West, FL 33040-4533
Phone (305) 294-1578

Other identifiers 5

IdentifierTypeStateIssuer
1669381003OtherFLCIGNA
373947300MedicaidFL
3739473-01MedicaidFL
4519317OtherFLAETNA
3739473-03MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130725000562 FL Part B Supplier - Clinic/Group Practice 1759522246 Receives reassigned benefits from 1 practitioner
Practice locations: Key West, FL; Palmetto Bay, FL; South Miami, FL

National Provider Directory

National Provider Directory

Locations

3712 N Roosevelt Blvd
Unit C
Key West, FL 33040
Phone (305) 294-1578

6705 SW 57th Ave
Ste 520
South Miami, FL 33143
Phone (305) 666-0726

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1255483905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 SW 57TH AVE STE 520",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433649",
            "telephone_number": "305-666-0726",
            "fax_number": "305-666-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 SW 152ND STREET",
            "address_2": "SUITE 210",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571774",
            "telephone_number": "305-255-9577",
            "fax_number": "305-255-3115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6705 SW 57th Ave Ste 520",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331433649",
            "country_code": "US",
            "telephone_number": "305-666-0726",
            "fax_number": "305-666-0792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3712 N Roosevelt Blvd Unit C",
            "address_purpose": "LOCATION",
            "city": "Key West",
            "state": "FL",
            "postal_code": "330404533",
            "country_code": "US",
            "telephone_number": "305-294-1578",
            "fax_number": "305-294-1582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARLOS PINIELLA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "PINIELLA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-666-0726",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME0062377",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1669381003",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373947300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3739473-01",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4519317",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3739473-03",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.