Individual provider Active NPI

Alejandro Pedrozo III, MD

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1689626236
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME81430 Issued in FL
Practice address
351 NW Lejeune Rd
Suite 502
Miami, FL 33126-5683
Phone
(305) 642-5500
Fax
(305) 642-5580
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME81430 FL Primary

Addresses

Primary practice location

351 NW Lejeune Rd
Suite 502
Miami, FL 33126-5683

Mailing address

351 NW Lejeune Rd
Suite 502
Miami, FL 33126-5683
Phone (305) 642-5500

Other identifiers 1

IdentifierTypeStateIssuer
58526OtherFLBCBS PROVIDER #

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
I20040701000124 FL Practitioner - Dermatology 3577540277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

351 NW 42 Ave
Suite 502
Miami, FL 33126-5690

351 NW 42ND Ave
Suite 502
Miami, FL 33126-5690
Phone (305) 642-5500

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions719
Removal of skin cancer47
Removal or shaving of skin growth38
Skin biopsy80

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alejandro Pedrozo III MD PA Dermatology CurrentSince Nov 1, 2000 Accepting new patients
Alejandro Pedrozo III, Mdpa Dermatology PastSince Jan 1, 1990 Accepting new patients
Maria del Carmen Valdes MD PA Past Accepting new patients
Jaime Garcia, M.D., P.a. PastSince Nov 3, 2000 Accepting new patients

Locations

935 W 49th St
Ste 107
Hialeah, FL 33012
Phone (305) 827-2268

351 NW Le Jeune Rd
Ste 502
Miami, FL 33126
Phone (305) 642-5500

351 NW Le Jeune Rd
Ste 401
Miami, FL 33126
Phone (305) 642-2600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1689626236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 NW LEJEUNE RD",
            "address_2": "SUITE 502",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "305-642-5500",
            "fax_number": "305-642-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW LEJEUNE RD",
            "address_2": "SUITE 502",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "305-642-5500",
            "fax_number": "305-642-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROZO",
        "first_name": "ALEJANDRO",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME81430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "58526",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.