Individual provider Active NPI

Otto C Concepcion, M.D.

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1508002999
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME103235 Issued in FL
Practice address
3855 E 4TH Ave
Hialeah, FL 33013-2703
Phone
(305) 835-0438
Fax
(786) 796-2721
NPI assigned
Jan 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME103235 FL Primary

Addresses

Primary practice location

3855 E 4TH Ave
Hialeah, FL 33013-2703

Mailing address

8333 NW 53Rd St FL 6
Doral, FL 33166-4783

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address otto.concepcion@chealth.eclinicaldirectplus.com Health Information Exchange (HIE)

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
I20100308000853 FL Practitioner - Internal Medicine 2466597919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
South Dade Primary Care LLCGroup PAC ID 6002835360, 24 clinicians
Cano Health, LLCGroup PAC ID 1759565047, 141 clinicians

Practice addresses (Care Compare)

15335 SW 288TH St
Homestead, FL 33033-1356
Phone (305) 248-3814

3855 E 4TH Ave
Hialeah, FL 33013-2703
Phone (855) 226-6633

Hospital & facility affiliations

  • Homestead Hospital Hospital, Homestead, FL, CCN 100125

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Dade Primary Care, LLC Internal Medicine CurrentSince Jun 2, 2025 Accepting new patients
Claremedica Viking LLC CurrentSince Jul 1, 2025 Accepting new patients
Cano Health, LLC PastSince Jan 3, 2022 Accepting new patients

Locations

27455 S Dixie Hwy
Unit 1
Homestead, FL 33032
Phone (305) 245-3247

15335 SW 288th St
Homestead, FL 33033
Phone (305) 246-3744

1000 NW 57th Ct
Ste 400
Miami, FL 33126

9835 E Hibiscus St
Palmetto Bay, FL 33157
Phone (305) 238-8561

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIABD
  • FHIR API: https://api.platform.athenahealth.com/15805/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1508002999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NW 53RD ST FL 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132703",
            "telephone_number": "305-835-0438",
            "fax_number": "786-796-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "OTTO",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-06",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME103235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "otto.concepcion@chealth.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3855 E 4th Ave",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330132703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.