Individual provider Active NPI

Fabriccio Melanio Letellier, M.D.

  • Pulmonary Disease Physician
  • Palmetto Bay, FL
National Provider Identifier
1285620088
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME79333 Issued in FL
Practice address
8750 SW 144TH St
Suite 208
Palmetto Bay, FL 33176-7296
Phone
(305) 259-6166
Fax
(305) 259-6630
NPI assigned
Sep 27, 2005
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME79333 FL Primary

Addresses

Primary practice location

8750 SW 144TH St
Suite 208
Palmetto Bay, FL 33176-7296

Mailing address

8600 SW 92ND St
Ste 204a
Miami, FL 33156-7397
Phone (305) 436-9933

Other identifiers 1

IdentifierTypeStateIssuer
263573900MedicaidFL

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
I20041005000740 FL Practitioner - Pulmonary Disease 5294794384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Physicians of South Florida LLCGroup PAC ID 1850360397, 39 clinicians

Practice addresses (Care Compare)

5000 University Dr
Coral Gables, FL 33146-2008
Phone (305) 779-7381

7400 SW 87TH Ave
416 Baptist Sleep Center at Galloway
Miami, FL 33173-5458
Phone (786) 596-1306

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-1960

9555 SW 162 Ave
West Kendall Baptist Hospital
Miami, FL 33196-6408
Phone (786) 467-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Physicians of South Florida LLC Pulmonary Disease CurrentSince Sep 1, 2004 Accepting new patients
Juan a Lopetegui MD PA Pulmonary Disease Past Accepting new patients
Mezey & Krainson MD PA Pulmonary Disease Past Accepting new patients

Locations

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

8600 SW 92nd St
Ste 204A
Miami, FL 33156
Phone (305) 436-9933

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

9380 SW 150th St
Ste 200
Miami, FL 33176
Phone (305) 270-0777

8750 SW 144th St
Ste 208
Palmetto Bay, FL 33176
Phone (305) 259-6166

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

Hospital & facility affiliations 3

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1285620088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SW 92ND ST",
            "address_2": "STE 204A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567397",
            "telephone_number": "305-436-9933",
            "fax_number": "305-436-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 SW 144TH ST",
            "address_2": "SUITE 208",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767296",
            "telephone_number": "305-259-6166",
            "fax_number": "305-259-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETELLIER",
        "first_name": "FABRICCIO",
        "middle_name": "MELANIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME79333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263573900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.