Individual provider Active NPI

Pedro P Llaneza, M.D.

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1649236670
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME43997 Issued in FL
Practice address
9195 SW 72ND St
Suite 120
Miami, FL 33173-3488
Phone
(305) 598-9090
Fax
(305) 598-0668
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME43997 FL Primary

Addresses

Primary practice location

9195 SW 72ND St
Suite 120
Miami, FL 33173-3488

Mailing address

9195 SW 72ND St
Suite 120
Miami, FL 33173-3488
Phone (305) 598-9090

Other identifiers 1

IdentifierTypeStateIssuer
045855400MedicaidFL

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
I20080813000898 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 1355416108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9195 SW 72ND St
Suite 120
Miami, FL 33173-3488
Phone (305) 598-9090

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy147
Upper gastrointestinal (GI) endoscopy for acid reflux79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pedro P Llaneza MD PA Gastroenterology CurrentSince May 23, 2008 Accepting new patients

Locations

9195 Sunset Dr
Ste 120
Miami, FL 33173
Phone (305) 598-9090

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bc1213be-2063-4c75-b0c0-c9285ec4abac/

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.

Hospital & facility affiliations 4

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1649236670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 SW 72ND ST",
            "address_2": "SUITE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733488",
            "telephone_number": "305-598-9090",
            "fax_number": "305-598-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 SW 72ND ST",
            "address_2": "SUITE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733488",
            "telephone_number": "305-598-9090",
            "fax_number": "305-598-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLANEZA",
        "first_name": "PEDRO",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME43997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045855400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.