Active NPI
Mario Magcalas MD PA
- Pulmonary Disease Physician
- Pembroke Pines, FL
National Provider Identifier
1497856058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- MARIO MAGCALAS MD PA
- Practice address
- 10794 Pines Blvd
Suite 205
Pembroke Pines, FL 33026-3920 - Phone
- (954) 538-8543
- Fax
- (954) 431-8153
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jame Madali
- Title
- Administrator
- Phone
- (954) 538-8543
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
10794 Pines Blvd
Suite 205
Pembroke Pines, FL 33026-3920
Mailing address
10794 Pines Blvd
Suite 205
Pembroke Pines, FL 33026-3920
Phone (954) 538-8543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117970000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1078766 | Mario Magcalas MD PA | Certificate of waiver | Jan 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
7150 W 20th Ave
Ste 216
Hialeah, FL 33016
Phone (305) 813-1820
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- North Miami Beach, FL
- NPI 1851343578
-
- Family Nurse Practitioner
- Miramar, FL
- NPI 1013310549
-
- Medical Physician Assistant
- Pembroke Pines, FL
- NPI 1295900132
-
- Pulmonary Disease Physician
- Pembroke Pines, FL
- NPI 1548599269
-
- Physician Assistant
- Pembroke Pines, FL
- NPI 1033142591
-
- Medical Physician Assistant
- Pembroke Pines, FL
- NPI 1821220963
-
- Critical Care Medicine (Internal Medicine) Physician
- Hollywood, FL
- NPI 1255364592
-
- Critical Care Medicine (Internal Medicine) Physician
- Hollywood, FL
- NPI 1922216464
-
- Pulmonary Disease Physician
- Pleasanton, TX
- NPI 1265549059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684281600000",
"number": "1497856058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10794 PINES BLVD",
"address_2": "SUITE 205",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330263920",
"telephone_number": "954-538-8543",
"fax_number": "954-431-8153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10794 PINES BLVD",
"address_2": "SUITE 205",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330263920",
"telephone_number": "954-538-8543",
"fax_number": "954-431-8153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIO MAGCALAS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A",
"authorized_official_last_name": "MADALI",
"authorized_official_first_name": "JAME",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "954-538-8543"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117970000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.