Individual provider Active NPI

Eliades Jesus Carmenate, M.D

  • Internal Medicine Physician
  • North Miami, FL
National Provider Identifier
1346510179
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 117443 Issued in FL
Practice address
12550 Biscayne Blvd Ste 406
North Miami, FL 33181-2539
Phone
(786) 536-2003
Fax
(800) 536-1148
NPI assigned
Jan 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 117443 FL Primary

Addresses

Primary practice location

12550 Biscayne Blvd Ste 406
North Miami, FL 33181-2539

Mailing address

12550 Biscayne Blvd Ste 406
North Miami, FL 33181-2539
Phone (786) 536-2003

Other identifiers 2

IdentifierTypeStateIssuer
009702800MedicaidFL
HS208ZOtherFLMEDICARE

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
I20140313001709 FL Practitioner - Internal Medicine 4688804669 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 117443FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ac Medical Associates I, Inc. CurrentSince Feb 1, 2021 Accepting new patients

Locations

4770 Biscayne Blvd
Ste 1450
Miami, FL 33137
Phone (786) 536-2003

12550 Biscayne Blvd
Ste 406
North Miami, FL 33181
Phone (786) 536-2003

9050 Pines Blvd
Ste 364
Pembroke Pines, FL 33024
Phone (786) 536-2003

Interoperability endpoints

  • Direct secure messaging: eliades.carmenate.1@21165.direct.athenahealth.com

Organizations & group practices 1

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": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1346510179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD STE 406",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812539",
            "telephone_number": "786-536-2003",
            "fax_number": "800-536-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD STE 406",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812539",
            "telephone_number": "786-536-2003",
            "fax_number": "800-536-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMENATE",
        "first_name": "ELIADES",
        "middle_name": "JESUS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 117443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009702800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HS208Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.