Carlos A Medina, MD

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

ME60360 Issued in FL

Practice address

1611 NW 12TH Ave
M851
Miami, FL 33101-6960

Phone

(305) 243-4029

Fax

(305) 243-8470

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Obstetrics/Gynecology

Education

Ponce School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score

87.93 of 100Reported as group

Quality

78.79

Promoting interoperability

100

Improvement activities

40

Cost

71.44

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: cmedina5465@direct.med.miami.edu

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.

• University of Miami

  • Hepatology Physician
  • Miami, FL
  • NPI 1013967827
  Medicare reassignment Care Compare group NPD
• University of Miami

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1124768627
  NPD
• University of Miami

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1730139361
  NPD
• University of Miami

  • Pediatric Allergy/Immunology Physician
  • Miami, FL
  • NPI 1427609080
  NPD (past)

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

• Jackson Memorial Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1013959972
  Care Compare affiliation
• Public Health Trust of Dade County Florida

  • Psychiatric Hospital Unit
  • Miami, FL
  • NPI 1043473093
  Care Compare affiliation
• Public Health Trust of Dade County Florida

  • Legal Medicine
  • Miami, FL
  • NPI 1194897421

  Hospital

  Care Compare affiliation
• Public Health Trust of Dade County Florida

  • Methadone Clinic
  • Miami, FL
  • NPI 1427120856

  Hospital

  Care Compare affiliation
• Public Health Trust of Dade County Florida

  • Multi-Specialty Clinic/Center
  • Miami, FL
  • NPI 1578633707

  Hospital

  Care Compare affiliation
• Public Health Trust of Dade County Florida

  • Medical Specialty Clinic/Center
  • Miami, FL
  • NPI 1831263771

  Hospital

  Care Compare affiliation
• Public Health Trust of Miami Dade County Florida

  • Multi-Specialty Clinic/Center
  • Miami, FL
  • NPI 1033283445

  Hospital

  Care Compare affiliation
• Public Health Trust of Miami Dade County Florida

  • General Acute Care Hospital
  • North Miami Beach, FL
  • NPI 1104857119
  Care Compare affiliation
• Public Health Trust of Miami Dade County Florida

  • General Acute Care Hospital
  • Palmetto Bay, FL
  • NPI 1174601397
  Care Compare affiliation
• Public Health Trust of Miami Dade County Florida

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1225033020
  Care Compare affiliation
• Public Health Trust of Miami Dade County Florida

  • Urgent Care Clinic/Center
  • Cutler Bay, FL
  • NPI 1225409683

  Hospital

  Care Compare affiliation
• Public Health Trust of Miami Dade County Florida

  • Urgent Care Clinic/Center
  • Miami, FL
  • NPI 1306216528

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1639193923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "BOX 016960 M851",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331016960",
            "telephone_number": "305-243-4029",
            "fax_number": "305-243-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "M851",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331016960",
            "telephone_number": "305-243-4029",
            "fax_number": "305-243-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME60360",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME60360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3732894-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Janine Medina, D.O.
• Annette Medina, M.D.
• Anuris Medina
• Barbara Medina, OT
• Bazekendy Medina
• Carlos E Medina
• Cristina M Medina, PHARM D
• Cristina Moussawel Medina
• Dailyn Medina
• Damaris Louise Medina

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Miami, FL
• Providers in Miami, FL by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.