Active NPI
Lina Ximena Caicedo, MD
- Obstetrics & Gynecology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME144255
- Practice address
- 7400 SW 87TH Ave Ste 120B
Miami, FL 33173-5458 - Phone
- (305) 630-4100
- NPI assigned
- Apr 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | ME144255 | FL | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | MD2019-0740 | NM |
Addresses
Primary practice location
7400 SW 87TH Ave Ste 120B
Miami, FL 33173-5458
Mailing address
7400 SW 87TH Ave Ste 120B
Miami, FL 33173-5458
Phone (305) 630-4100
Other practice location 1
4800 Alberta Ave
OBGYN Dept
El Paso, TX 79905-2709
Phone (915) 215-5020
Other practice location 2
4800 Alberta Ave
OBGYN Dept
El Paso, TX 79905-2709
Phone (915) 215-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME144255 | Other | FL | FL LICENSE |
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
- Obstetrics/Gynecology
- Education
- Ohio State University College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641
7400 SW 87 Ave
120B Pelaez Apollon and Karsenti MDS LLC
Miami, FL 33173-5458
Phone (305) 630-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME144255 | FL | MD | Obstetrics & Gynecology Physician |
| MD2019-0740 | NM | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
7400 SW 87th Ave
Ste 120B
Miami, FL 33173
Phone (305) 595-4425
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
Interoperability endpoints
- lcaicedo276188@ahs.direct-ci.com
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1457746646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 SW 87TH AVE STE 120B",
"city": "MIAMI",
"state": "FL",
"postal_code": "331735458",
"telephone_number": "305-630-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 SW 87TH AVE STE 120B",
"city": "MIAMI",
"state": "FL",
"postal_code": "331735458",
"telephone_number": "305-630-4100"
}
],
"practiceLocations": [
{
"address_1": "4800 Alberta Ave",
"address_2": "OBGYN Dept",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052709",
"country_code": "US",
"telephone_number": "915-215-5020",
"fax_number": "915-545-6946",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 Alberta Ave",
"address_2": "OBGYN Dept",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052709",
"country_code": "US",
"telephone_number": "915-215-5020",
"fax_number": "915-545-6946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAICEDO",
"first_name": "LINA",
"middle_name": "XIMENA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME144255",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NM",
"license": "MD2019-0740",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE",
"identifier": "ME144255",
"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 Jun 5, 2020; 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.