Active NPI
Marcelo Jose Lacayo Baez, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- ME140238
- Practice address
- 1500 SW 1St Ave
Ocala, FL 34471-6504 - Phone
- (352) 351-7200
- NPI assigned
- May 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD2018-0150 | NM | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | ME140238 | FL | Primary |
Addresses
Primary practice location
1500 SW 1St Ave
Ocala, FL 34471-6504
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (855) 687-0618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2018-0150 | NM | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Emergency Physicians-Heartland LLC | Single Specialty | Current | Accepting new patients |
| Tri-Cities Regional Emergency Physicians, PC | Single Specialty | Current | Accepting new patients |
| Wellmont Health System | Current | Accepting new patients |
Locations
1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
Interoperability endpoints
- mlacayobaez174724@ahs.direct-ci.com
- mlacayobaez529867@balladhealth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
Single Specialty
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1043661408
Single Specialty
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1710322383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182545",
"telephone_number": "855-687-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SW 1ST AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344716504",
"telephone_number": "352-351-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACAYO BAEZ",
"first_name": "MARCELO",
"middle_name": "JOSE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-08",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "MD2018-0150",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "FL",
"license": "ME140238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.