Individual provider Active NPI

Cesar M Pellerano, MD

  • Cardiovascular Disease Physician
  • Aventura, FL
National Provider Identifier
1417078841
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME35555 Issued in FL
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
024320OtherFLNHP
96189OtherFLBLUE CROSS BLUE SHIELD
P00079248OtherFLRAILROAD MEDICARE
206898OtherFLAVMED

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
I20100524000594 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Preventive Medicine 0941339360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
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

LicenseStateTypeSpecialty
ME35555FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cesar M Pellerano MD PA Cardiovascular Disease CurrentSince Jan 25, 2010 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.

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

Verify at the official NPI Registry.