Active NPI
Cesar M Pellerano, MD
- Cardiovascular Disease Physician
- Aventura, FL
National Provider Identifier
1417078841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME35555
- Practice address
- 2999 NE 191St St
Suite 200
Aventura, FL 33180-3123 - Phone
- (305) 933-8877
- Fax
- (305) 933-3244
- NPI assigned
- Apr 3, 2007
- Last updated
- Apr 29, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME35555 | FL | Primary |
Addresses
Primary practice location
2999 NE 191St St
Suite 200
Aventura, FL 33180-3123
Mailing address
2999 NE 191St St
Suite 200
Aventura, FL 33180-3123
Phone (305) 933-8877
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024320 | Other | FL | NHP |
| 96189 | Other | FL | BLUE CROSS BLUE SHIELD |
| P00079248 | Other | FL | RAILROAD MEDICARE |
| 206898 | Other | FL | AVMED |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Miami, LM Miller School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6705 SW 57TH Ave
Suite 320
South Miami, FL 33143-3638
Phone (305) 661-8877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME35555 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cesar M Pellerano MD PA | Cardiovascular Disease | Current | Accepting new patients |
Locations
6705 SW 57th Ave
Ste 320
South Miami, FL 33143
Phone (305) 661-8877
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.
-
- Cardiovascular Disease Physician
- Miami, FL
- NPI 1104947472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1417078841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2999 NE 191ST ST",
"address_2": "SUITE 200",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331803123",
"telephone_number": "305-933-8877",
"fax_number": "305-933-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 NE 191ST ST",
"address_2": "SUITE 200",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331803123",
"telephone_number": "305-933-8877",
"fax_number": "305-933-3244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLERANO",
"first_name": "CESAR",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME35555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "024320",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "96189",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00079248",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "206898",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.