Octavio Avila Zamora, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME123042 Issued in FL

Practice address

13500 SW 152ND St
Miami, FL 33177-1111

Phone

(786) 596-4300

Fax

(786) 533-9267

NPI assigned

Apr 25, 2012

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 names 1

• Octavio Avila Zamora Former name

Medicare fee-for-service enrollment

Enrolled in TX, FL2 enrollments

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 2

Specialty

Family Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Physicians of Country Walk LLCGroup PAC ID 6204990385, 34 clinicians

Urgent Care Physicians of Palmetto Bay LLCGroup PAC ID 9032202049, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Urgent Care Physicians of Country Walk LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1689838849
  Medicare reassignment Care Compare group NPD
• Urgent Care Physicians of Palmetto Bay LLC

  • General Practice Physician
  • Palmetto Bay, FL
  • NPI 1740403914
  Medicare reassignment Care Compare group NPD
• Aaa Mental Health and Community Services LLC

  • Community/Behavioral Health Agency
  • Medley, FL
  • NPI 1376111393
  Medicare reassignment NPD
• Family Pain & Health Center, LLC.

  • Clinic/Center
  • Homestead, FL
  • NPI 1447610712
  Medicare reassignment NPD
• Urgent Care Physicians of Cutler Bay, LLC

  • General Practice Physician
  • Cutler Bay, FL
  • NPI 1356163638
  Medicare reassignment NPD
• Urgent Care Physicians of Tamiami LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1639381965
  Medicare reassignment NPD
• Urgent Care Physicians of West Kendall LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1508989757
  Medicare reassignment NPD
• Urgent Care Physicians of Westchester LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1992928162
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  NPD
• Aaa Mental Health and Community Services LLC

  • Case Management Agency
  • Miami, FL
  • NPI 1013753987
  NPD (past)

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

• Baptist Hospital of Miami Inc

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1528042884
  Care Compare affiliation

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1649538828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7853 SW 56TH ST",
            "address_2": "APT A 219",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554389",
            "telephone_number": "786-202-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 SW 152ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771111",
            "telephone_number": "786-596-4300",
            "fax_number": "786-533-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA ZAMORA",
        "first_name": "OCTAVIO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10043361",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME123042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OCTAVIO",
            "last_name": "AVILA ZAMORA",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ailyn Avila Portal, DMD
• Manuel Avila Quintero
• Dahimy Avila Rodriguez, ARNP-MSN-NPC
• Gilberto J Avila Rodriguez
• Odalys Avila Rodriguez
• Jessica Avila Zulueta
• Anthony Avila
• Arley Avila, PTA
• Carlos Daniel Avila
• Carolina Avila, PSY.D.

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.