Individual provider Active NPI

Jorge Pando, M.D. FACOG

  • Specialist
  • Miami Lakes, FL
National Provider Identifier
1437323219
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
8145 NW 155TH St
Suite B
Miami Lakes, FL 33016-5872
Phone
(305) 698-5300
Fax
(305) 698-5302
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

8145 NW 155TH St
Suite B
Miami Lakes, FL 33016-5872

Mailing address

8145 NW 155TH St
Suite B
Miami Lakes, FL 33016-5872
Phone (305) 698-5300

Other identifiers 1

IdentifierTypeStateIssuer
000165000MedicaidFL

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
I20080909000616 FL Practitioner - Obstetrics/Gynecology 1658447065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8145 NW 155TH St B
Miami Lakes, FL 33016-5872
Phone (305) 698-5300

Hospital & facility affiliations

  • Hialeah Hospital Hospital, Hialeah, FL, CCN 100053
  • Jackson Health System Hospital, Miami, FL, CCN 100022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier OBGYN of South Florida PLLC Specialist CurrentSince Jul 24, 2022 Accepting new patients
Premier OBGYN of South Florida PLLC Specialist CurrentSince Sep 9, 2008 Accepting new patients

Locations

8145 NW 155th St
#B
Miami Lakes, FL 33016
Phone (305) 698-5300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1437323219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8145 NW 155TH ST",
            "address_2": "SUITE B",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165872",
            "telephone_number": "305-698-5300",
            "fax_number": "305-698-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8145 NW 155TH ST",
            "address_2": "SUITE B",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165872",
            "telephone_number": "305-698-5300",
            "fax_number": "305-698-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDO",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "M.D. FACOG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000165000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.