Active NPI
Carlos A Trejos, M.D.
- Internal Medicine Physician
- Hialeah, FL
National Provider Identifier
1821052135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 93328
- Practice address
- 5961 NW 173Rd Dr
Hialeah, FL 33015-5114 - Phone
- (305) 556-7500
- NPI assigned
- Apr 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 93328 | FL | Primary |
Addresses
Primary practice location
5961 NW 173Rd Dr
Hialeah, FL 33015-5114
Mailing address
5961 NW 173Rd Dr
Hialeah, FL 33015-5114
Phone (305) 556-7500
Other practice location 1
2150 W 68th St
Suite 200
Hialeah, FL 33016-1802
Phone (305) 827-2977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00695941 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 93328 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nydh Physician Practice | Internal Medicine | Past | Accepting new patients |
| New York Downtown Medical Associates | Internal Medicine | Past | Accepting new patients |
| Ny Downtown Faculty Practice Opd | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Specialist
- Miami Gardens, FL
- NPI 1881024800
-
- Internal Medicine Physician
- New York, NY
- NPI 1427095652
-
- Family Medicine Physician
- New York, NY
- NPI 1396780581
-
- Internal Medicine Physician
- New York, NY
- NPI 1740412048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1821052135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5961 NW 173RD DR",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330155114",
"telephone_number": "305-556-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5961 NW 173RD DR",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330155114",
"telephone_number": "305-556-7500"
}
],
"practiceLocations": [
{
"address_1": "2150 W 68th St",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330161802",
"country_code": "US",
"telephone_number": "305-827-2977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TREJOS",
"first_name": "CARLOS",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 93328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00695941",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.