Active NPI
William V Tejeiro, M.D.
- Orthopaedic Surgery Physician
- Miami, FL
National Provider Identifier
1417052531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME0058822
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064349100 | Medicaid | FL | |
| 117164800 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0058822 | FL | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Tejeiro M D PA | Current | 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.
-
- Medical Specialty Clinic/Center
- Miami, FL
- NPI 1508031170
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.