Carlos David Bedetti, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD036610L Issued in PA

Practice address

3530 Mystic Pointe Dr Apt 515
Aventura, FL 33180-4525

Phone

(412) 858-2567

Fax

(954) 739-7208

NPI assigned

May 18, 2006

Last updated

Apr 30, 2020By the provider in NPPES

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 6

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

Pathology

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ian S Goldbaum DPM PAGroup PAC ID 3870650864, 3 clinicians

Gary L Curson PAGroup PAC ID 6406990951, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc11021_southfloridaurologycenter

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gary L Curson PA

  • Foot & Ankle Surgery Podiatrist
  • Surfside, FL
  • NPI 1144468323
  Medicare reassignment Care Compare group NPD
• Ian S Goldbaum DPM PA

  • Podiatric Clinic/Center
  • Delray Beach, FL
  • NPI 1538331210
  Medicare reassignment Care Compare group NPD
• South Florida Urology Center Inc

  • Urology Physician
  • Pembroke Pines, FL
  • NPI 1588775068
  Medicare reassignment NPD
• Pathology Laboratory Diag., Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Monroeville, PA
  • NPI 1093741381
  NPD (past) Authorized official
• West Penn Allegheny Health System, Inc

  dba Forbes Regional Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Monroeville, PA
  • NPI 1003991555
  NPD (past) Authorized official
• Michael P. Zahalsky, MD PA

  • Urology Physician
  • Pompano Beach, FL
  • NPI 1467024836
  NPD
• Allegheny Clinic

  dba AHN Neurology

  • Neurology Physician
  • Pittsburgh, PA
  • NPI 1821098260
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1659324135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 MYSTIC POINTE DR APT 515",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804525",
            "telephone_number": "412-858-2567",
            "fax_number": "954-739-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 MYSTIC POINTE DR APT 515",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804525",
            "telephone_number": "412-858-2567",
            "fax_number": "954-739-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDETTI",
        "first_name": "CARLOS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD036610L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS",
            "identifier": "64979",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1514085",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTHPLAN",
            "identifier": "250411",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "P00641436",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011423140001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK-PA BLUE SHIELD",
            "identifier": "509493",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yasmine Tala Bazzi
• Be Socaial Advocacy
• Be Unbeweaveable
• Luis Ignacio Becerra-Cabal, M.D.
• Crystal Beckman, DPM
• Margaret Lydia Beechler, MSCCC/SLP
• Debra Jennifer Beeferman, MA CCC-SLP
• Nusen Beer, M.D.
• Noga Behar, LMHC
• Rachelle Gina Behar, M.S.

• Anatomic Pathology & Clinical Pathology Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.