Individual provider Active NPI

Ernesto Padron, M.D

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1295968048
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME112144 Issued in FL
Practice address
650 NW 180TH Ter Ste 102
Pembroke Pines, FL 33029-2825
Phone
(954) 436-1212
NPI assigned
Aug 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME112144 FL Primary

Addresses

Primary practice location

650 NW 180TH Ter Ste 102
Pembroke Pines, FL 33029-2825

Mailing address

4312 SW 142ND CT
Miami, FL 33175-4319
Phone (305) 898-3611

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
I20160120002117 FL Practitioner - Family Practice 2264735570 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

501 NW 103Rd Ave
Pembroke Pines, FL 33026-3924
Phone (954) 842-2175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME112144FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caremax Medical Center of Pembroke Pines, LLC Current Accepting new patients
Interamerican Medical Center Group LLC Family Medicine CurrentSince Nov 13, 2023 Accepting new patients
Interamerican Medical Center Group LLC Family Medicine CurrentSince Nov 13, 2023 Accepting new patients
Caremax Medical Center of Pembroke Pines, LLC CurrentSince Nov 13, 2023 Accepting new patients
Interamerican Medical Center Group LLC Family Medicine Current Accepting new patients
Claremedica Viking LLC Family Medicine CurrentSince Feb 3, 2025 Accepting new patients
Leon Medical Centers LLC CurrentSince Jul 10, 2012 Accepting new patients
Senior Medical Associates LLC Family Medicine Past Accepting new patients

Locations

8600 NW 41st St
Doral, FL 33166
Phone (305) 642-1511

11501 SW 40th St
Miami, FL 33165
Phone (305) 646-3716

7950 NW 2nd St
Miami, FL 33126
Phone (305) 552-8822

1000 NW 57th Ct
Ste 400
Miami, FL 33126

7101 W Flagler St
Miami, FL 33144
Phone (786) 388-9596

15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737

501 NW 103rd Ave
Pembroke Pines, FL 33026
Phone (954) 251-1497

650 NW 180th Ter
Ste 102
Pembroke Pines, FL 33029
Phone (954) 436-1212

Interoperability endpoints

  • Direct secure messaging: ernesto.padron.p1@direct.caremax.nextgenshare.com

Organizations & group practices 8

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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1295968048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 SW 142ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754319",
            "telephone_number": "305-898-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NW 180TH TER STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292825",
            "telephone_number": "954-436-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON",
        "first_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME112144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.