Individual provider Active NPI

Alejandro Jose Centurion, MD

  • Sports Medicine (Family Medicine) Physician
  • Miami, FL
National Provider Identifier
1730593708
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME135790 Issued in FL
Practice address
15955 SW 96TH St Ste 401
Miami, FL 33196
Phone
(786) 268-6200
NPI assigned
Jun 17, 2014
Last updated
Jun 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TRN25256 FL
Sports Medicine (Family Medicine) Physician 207QS0010X ME135790 FL Primary

Addresses

Primary practice location

15955 SW 96TH St Ste 401
Miami, FL 33196

Mailing address

15955 SW 96TH St Ste 401
Miami, FL 33196-1273
Phone (786) 268-6200

Other practice location 1

900 NE 10th St
FMC 2102
Oklahoma City, OK 73104-5420
Phone (405) 271-2230

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
I20190123003436 FL Practitioner - Sports Medicine 2365758323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Practice addresses (Care Compare)

1150 Campo Sano Ave
Coral Gables, FL 33146-1174
Phone (786) 268-6200

6200 Sunset Dr
Suite 604
South Miami, FL 33143-4831
Phone (786) 662-8928

6200 SW 72 St
Suite 602
South Miami, FL 33143-4831
Phone (786) 662-0600

6200 SW 72ND St Mci Benign Urology
Suite 601
South Miami, FL 33143-4831
Phone (786) 596-2000

709 Alton Rd
Suite 440
Miami Beach, FL 33139-5521
Phone (786) 595-8220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN25256FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Physicians LLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

15955 SW 96th St
Ste 401
Miami, FL 33196
Phone (786) 467-3430

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

Interoperability endpoints

  • Direct secure messaging: ale14984@cerner.directbaptisthealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1730593708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15955 SW 96TH ST STE 401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961273",
            "telephone_number": "786-268-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 SW 96TH ST STE 401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33196",
            "telephone_number": "786-268-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 NE 10th St",
            "address_2": "FMC 2102",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045420",
            "country_code": "US",
            "telephone_number": "405-271-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENTURION",
        "first_name": "ALEJANDRO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN25256",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME135790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.