Ivan Carreras, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME112389 Issued in FL

Practice address

45 W 17TH St
Hialeah, FL 33010-3023

Phone

(305) 884-8891

Fax

(866) 808-3703

NPI assigned

Jul 15, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ivan.carreras@toplinemd.eclinicaldirectplus.com

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.

• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Tenet Florida Physician Services LLC

  • Surgery Physician
  • West Palm Beach, FL
  • NPI 1659417467

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1528298312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W 17TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103023",
            "telephone_number": "305-884-8891",
            "fax_number": "866-808-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 17TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103023",
            "telephone_number": "305-884-8891",
            "fax_number": "866-808-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERAS",
        "first_name": "IVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME112389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006305800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ceyne Carrera, RBT
• Fernando Enrique Carreras Calvo, MD
• Janeth Carreras Lopez
• Alfredo Carreras, RBT
• Dailyn Carreras
• Roxana A Carreras, OTRL
• Mailyn Carrero Alvarez
• Mary Karla Carrete Cano
• Karla Maria Carriedo Quintana
• Lizabeth Carril, RBT

• Internal Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.

Verify at the official NPI Registry.