Individual provider Active NPI

William V Tejeiro, M.D.

  • Orthopaedic Surgery Physician
  • Miami, FL
National Provider Identifier
1417052531
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0058822 Issued in FL
Practice address
3899 NW 7TH St
Suite 200
Miami, FL 33126-5551
Phone
(305) 642-5661
Fax
(305) 642-5664
NPI assigned
Sep 13, 2006
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0058822 FL Primary
Orthopaedic Trauma Physician 207XX0801X ME0058822 FL

Addresses

Primary practice location

3899 NW 7TH St
Suite 200
Miami, FL 33126-5551

Mailing address

3899 NW 7TH St Ste 200
Miami, FL 33126-5551
Phone (305) 642-5661

Other identifiers 2

IdentifierTypeStateIssuer
064349100MedicaidFL
117164800MedicaidFL

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
I20041013001211 FL Practitioner - Orthopedic SurgeryPractitioner - General Practice 3072573021 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0058822FLMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Tejeiro M D PA CurrentSince Jul 5, 2009 Accepting new patients

Locations

3899 NW 7th St
Ste 200
Miami, FL 33126
Phone (305) 642-5661

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1417052531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3899 NW 7TH ST STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265551",
            "telephone_number": "305-642-5661",
            "fax_number": "305-642-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3899 NW 7TH ST",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265551",
            "telephone_number": "305-642-5661",
            "fax_number": "305-642-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJEIRO",
        "first_name": "WILLIAM",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0058822",
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "FL",
            "license": "ME0058822",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064349100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117164800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.