Luis Camacho, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9103060 Issued in FL

Practice address

8625 Collier Blvd
Naples, FL 34114-3550

Phone

(239) 732-0044

Fax

(239) 732-0094

NPI assigned

Jan 16, 2007

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Wellness Physicians LLCGroup PAC ID 7911125661, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: luiscamacho@swp.emadirect.md

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.

• Skin Wellness Physicians, LLC

  • Dermatology Physician
  • Naples, FL
  • NPI 1275952244
  Medicare reassignment Care Compare group
• Skin Wellness Physicians, LLC

  • Dermatopathology Physician
  • Naples, FL
  • NPI 1619832409
  NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1659423358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143550",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143550",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Goodlette Rd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025243",
            "country_code": "US",
            "telephone_number": "239-732-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "PA9103060",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9103060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra L Calvillo, PHARM.D
• Dalia Calvo, BCBA
• Marice Reyes Calzadilla, RBT
• Kiara D Camacho Caballero, MD
• Emely Camacho Rodriguez
• Petra Camarda
• Camari, Corp.
• Daniel Camejo, DMD
• Andrea Cameron, D.D.S.
• Candice Cameron, CST, CSFA

• Surgical Physician Assistant in Naples, FL
• Providers in Naples, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.