Luis Emilio Vicioso Peralta, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME112745 Issued in FL

Practice address

7261 Sheridan St Ste 100D
Hollywood, FL 33024

Phone

(954) 534-7696

Fax

(954) 534-7731

NPI assigned

May 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Internal MedicineAlso: Addiction Medicine

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sole Health LLCGroup PAC ID 7214296219, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Certified Homecare of South Florida Home health agency, Fort Lauderdale, FL, CCN 107775
• Catholic Hospice Inc Hospice, Miami Lakes, FL, CCN 101530

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDACBD

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.

• Sole Health LLC

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1588119291
  Medicare reassignment Care Compare group

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

• Catholic Hospice, Inc

  • Community Based Hospice Care Agency
  • Miami Lakes, FL
  • NPI 1427051325
  Care Compare affiliation
• Sightlineworks, LLC

  • Home Health Agency
  • Fort Lauderdale, FL
  • NPI 1992710719
  Care Compare affiliation

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1831356724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 100D",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242708",
            "telephone_number": "954-534-7696",
            "fax_number": "954-534-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 100D",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-534-7696",
            "fax_number": "954-534-7731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1985 Main St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011031095",
            "country_code": "US",
            "telephone_number": "413-733-9955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICIOSO PERALTA",
        "first_name": "LUIS",
        "middle_name": "EMILIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "239261",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME112745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmiela Verson
• Ryan C Verxagio, OD
• Sloane E Veshinski, PH.D., MS, LMFT, CAP
• Scarlett Vichot
• Vicioso Medical and Addiction Services LLC
• Samantha Vick, ARNP
• Vick'S Medical, LLC
• Victoria Valdesuso PA
• Victorian Manor Assisted Living Facility
• Lisbet Vidal, O.D.

• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.