Individual provider Active NPI

Juan-Carlos Verdeja, M.D.

  • Surgery Physician
  • South Miami, FL
National Provider Identifier
1356316574
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0047801 Issued in FL
Practice address
6200 SW 72ND St Ste 502
South Miami, FL 33143-4830
Phone
(305) 271-9777
NPI assigned
Feb 21, 2006
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME0047801 FL Primary

Addresses

Primary practice location

6200 SW 72ND St Ste 502
South Miami, FL 33143-4830

Mailing address

PO Box 198054
Atlanta, GA 30384-8054
Phone (786) 594-6880

Other practice location 1

7800 SW 87th Ave
Suite B-210
Miami, FL 33173-3570
Phone (305) 271-9777 ext. 242

Other identifiers 1

IdentifierTypeStateIssuer
058932200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juancarlosv@cerner.directbaptisthealth.com

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
I20110726000534 FL Practitioner - General Surgery 2961683537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Miami, LM Miller School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Practice addresses (Care Compare)

15955 SW 96 St
Miami, FL 33196-1273

5000 University Dr
Coral Gables, FL 33146-2008

6200 Sunset Dr
Suite 604
South Miami, FL 33143-4831
Phone (786) 662-8928

6200 SW 72 St
Suite 602
South Miami, FL 33143-4831
Phone (786) 662-0600

6200 SW 72ND St
502 BHMG General Surgery
South Miami, FL 33143-4830
Phone (305) 271-9777

6200 SW 72ND St Mci Benign Urology
Suite 601
South Miami, FL 33143-4831
Phone (786) 596-2000

6200 SW 73 St
South Miami, FL 33143-4679

91500 Overseas Hwy
Tavernier, FL 33070-2547
Phone (305) 434-3000

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)21
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0047801FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Upper Keys, LLC CurrentSince Aug 19, 2014 Accepting new patients
Baptist Health Medical Group Upper Keys, LLC CurrentSince Aug 19, 2014 Accepting new patients
Baptist Health Medical Group Physicians LLC CurrentSince Jun 22, 2011 Accepting new patients

Locations

7800 SW 87th Ave
Ste B210
Miami, FL 33173
Phone (305) 809-7676

6200 Sunset Dr
Ste 502
South Miami, FL 33143
Phone (305) 430-6969

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

91550 Overseas Hwy
Ste 205
Tavernier, FL 33070
Phone (305) 434-3400

91550 Overseas Hwy
Ste 215
Tavernier, FL 33070
Phone (305) 434-3205

Interoperability endpoints

  • Direct secure messaging: juancarlosv@cerner.directbaptisthealth.com

Organizations & group practices 4

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 4

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1356316574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848054",
            "telephone_number": "786-594-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 72ND ST STE 502",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434830",
            "telephone_number": "305-271-9777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 SW 87th Ave",
            "address_2": "Suite B-210",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733570",
            "country_code": "US",
            "telephone_number": "305-271-9777 x242",
            "fax_number": "305-595-9590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERDEJA",
        "first_name": "JUAN-CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-07-31",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0047801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058932200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juancarlosv@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "7800 SW 87th Ave",
            "address_2": "Suite B-210",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331733570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.