Individual provider Active NPI

Luis R Padron, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami, FL
National Provider Identifier
1801865076
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME0053975 Issued in FL
Practice address
9580 SW 107TH Ave
Suite 101
Miami, FL 33176-2789
Phone
(305) 596-4440
Fax
(305) 596-1926
NPI assigned
Mar 17, 2006
Last updated
Nov 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME0053975 FL Primary

Addresses

Primary practice location

9580 SW 107TH Ave
Suite 101
Miami, FL 33176-2789

Mailing address

9580 SW 107TH Ave
Ste 101
Miami, FL 33176-2789
Phone (305) 596-4440

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
I20040827000086 FL Practitioner - Internal Medicine 4486629292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9580 SW 107TH Ave
Suite 101
Miami, FL 33176-2792
Phone (305) 596-4440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0053975FLMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luis R Padron MD PA Geriatric Medicine CurrentSince Jan 1, 2004 Accepting new patients
Miami Preventive Cardiology Center ,LLC Past Accepting new patients

Locations

8955 SW 87th Ct
Ste 104
Miami, FL 33176
Phone (305) 270-1113

9580 SW 107th Ave
Ste 101
Miami, FL 33176
Phone (305) 595-1202

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1801865076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9580 SW 107TH AVE",
            "address_2": "STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762789",
            "telephone_number": "305-596-4440",
            "fax_number": "305-596-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 SW 107TH AVE",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762789",
            "telephone_number": "305-596-4440",
            "fax_number": "305-596-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON",
        "first_name": "LUIS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0053975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.