Individual provider Active NPI

Jorge M. Barcenas, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1790797074
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43880 Issued in FL
Practice address
14687 SW 104TH St
Miami, FL 33186-2977
Phone
(305) 383-3372
Fax
(305) 387-7366
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43880 FL Primary

Addresses

Primary practice location

14687 SW 104TH St
Miami, FL 33186-2977

Mailing address

14687 SW 104TH St
Miami, FL 33186-2977
Phone (305) 383-3372

Other identifiers 1

IdentifierTypeStateIssuer
042122700MedicaidFL

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
I20041228000096 FL Practitioner - Internal Medicine 4385602234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jorge M Barcenas MD PAGroup PAC ID 9638153513, 2 clinicians

Practice addresses (Care Compare)

14687 SW 104TH St
Miami, FL 33186-2977
Phone (305) 383-3372

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43880FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge M Barcenas MD PA Internal Medicine CurrentSince Dec 1, 2003 Accepting new patients

Locations

14687 SW 104th St
Miami, FL 33186
Phone (305) 383-3372

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1790797074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14687 SW 104TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862977",
            "telephone_number": "305-383-3372",
            "fax_number": "305-387-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14687 SW 104TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862977",
            "telephone_number": "305-383-3372",
            "fax_number": "305-387-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCENAS",
        "first_name": "JORGE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "43880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042122700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.