Individual provider Active NPI

Julio C Machado Jr., MD

  • Geriatric Psychiatry Physician
  • Miami, FL
National Provider Identifier
1275579047
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
ME0056588 Issued in FL
Practice address
15536 SW 36TH Ter
Miami, FL 33185-4811
Phone
(305) 450-2774
Fax
(305) 675-8028
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X ME0056588 FL Primary

Addresses

Primary practice location

15536 SW 36TH Ter
Miami, FL 33185-4811

Mailing address

15536 SW 36TH Ter
Miami, FL 33185-4811
Phone (305) 450-2774

Other identifiers 1

IdentifierTypeStateIssuer
051907300MedicaidFL

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
I20081209000536 FL Practitioner - Geriatric PsychiatryPractitioner - Psychiatry 8325109390 Reassigns benefits to 1 organization
Practice locations: Coral Gables, FL; Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Health Network, Inc.Group PAC ID 9931177334, 49 clinicians

Practice addresses (Care Compare)

4125 W 20TH Ave
Hialeah, FL 33012-5874
Phone (305) 424-3120

4175 W 20TH Ave
Hialeah, FL 33012-5874
Phone (305) 825-0300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0056588FLMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Health Network Inc CurrentSince Nov 5, 2022 Accepting new patients
Citrus Health Network, Inc. CurrentSince Nov 5, 2022 Accepting new patients
Citrus Health Network Inc Current Accepting new patients
Roberto a. Hernando MD PA Psychiatry Past Accepting new patients
Miguel a Flores MD PA Past Accepting new patients

Locations

4175 W 20th Ave
Hialeah, FL 33012
Phone (305) 424-3030

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1275579047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15536 SW 36TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854811",
            "telephone_number": "305-450-2774",
            "fax_number": "305-675-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15536 SW 36TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854811",
            "telephone_number": "305-450-2774",
            "fax_number": "305-675-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "JULIO",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME0056588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051907300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.