Individual provider Active NPI

Carlos A Caceres, M.D.

  • Neuroradiology Physician
  • Miami, FL
National Provider Identifier
1710951561
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
ME86216 Issued in FL
Practice address
3663 S Miami Ave
Miami, FL 33133-4253
Phone
(305) 854-4400
Fax
(305) 285-5068
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X ME86216 FL Primary

Addresses

Primary practice location

3663 S Miami Ave
Miami, FL 33133-4253

Mailing address

PO Box 166474
C/O Intellirad Imaging LLC
Miami, FL 33116-6474
Phone (855) 826-6460

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
I20040623000153 FL Practitioner - Diagnostic Radiology 4688659626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Yale University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Imaging Diagnostic Centers LLCGroup PAC ID 7315177045, 15 clinicians
Intellirad Imaging LLCGroup PAC ID 9739333790, 60 clinicians

Practice addresses (Care Compare)

1100 NE 125TH St
North Miami, FL 33161-5044
Phone (305) 596-9992

15055 SW 122ND Ave
Miami, FL 33186-5914
Phone (305) 596-9992

3150 Coral Way
Miami, FL 33145-3210
Phone (303) 596-9992

3155 NW 82ND Ave
Suite 101
Doral, FL 33122-1006
Phone (305) 596-9992

3320 Palm Ave
Hialeah, FL 33012-5241
Phone (305) 596-9992

610 Washington Ave
Homestead, FL 33030-6038
Phone (305) 596-9992

7101 SW 99TH Ave
Miami, FL 33173-4661
Phone (305) 596-9992

8383 N Davis Hwy
Pensacola, FL 32514-6039
Phone (850) 494-3212

Hospital & facility affiliations

  • HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131
  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
  • HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.25
Improvement activities
40
Cost
82.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intellirad Imaging, LLC CurrentSince Oct 27, 2014 Accepting new patients
Vital Imaging Diagnostic Centers LLC CurrentSince Sep 30, 2023 Accepting new patients

Locations

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

7101 SW 99th Ave
Ste 106
Miami, FL 33173
Phone 3055969992214

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

7101 SW 99th Ave
Ste 109
Miami, FL 33173
Phone (305) 271-4455

11760 SW 40th St
Ste 703
Miami, FL 33175

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1710951561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166474",
            "address_2": "C/O INTELLIRAD IMAGING LLC",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331166474",
            "telephone_number": "855-826-6460",
            "fax_number": "772-621-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334253",
            "telephone_number": "305-854-4400",
            "fax_number": "305-285-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES",
        "first_name": "CARLOS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME86216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.