Individual provider Active NPI

Carlos Alberto Lista Ensenat, M.D.

  • Family Medicine Physician
  • Homestead, FL
National Provider Identifier
1841475951
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME109021 Issued in FL
Practice address
27455 S Dixie Hwy
Homestead, FL 33032-8231
Phone
(305) 245-3247
NPI assigned
Jan 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME109021 FL Primary

Addresses

Primary practice location

27455 S Dixie Hwy
Homestead, FL 33032-8231

Mailing address

1000 NW 57TH CT Ste 400
Miami, FL 33126-3292

Other identifiers 1

IdentifierTypeStateIssuer
ME109021OtherFLFL DEPT OF HEALTH

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
I20110923000262 FL Practitioner - Family Practice 6103097100 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

27455 S Dixie Hwy
Unit 1
Homestead, FL 33032-8231
Phone (305) 245-3247

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME109021FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Holdings, LLC Current Accepting new patients
Centrum Medical Centers Kendall, LLC CurrentSince Sep 30, 2024 Accepting new patients
Conviva Medical Center Management LLC Family Medicine CurrentSince Apr 6, 2020 Accepting new patients
Centrum Medical Holdings, LLC Dba Centrum Health CurrentSince Sep 30, 2024 Accepting new patients
Claremedica Viking LLC Family Medicine CurrentSince Jan 14, 2026 Accepting new patients
Senior Medical Associates LLC Family Medicine Past Accepting new patients

Locations

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

900 W 49th St
Ste 101
Hialeah, FL 33012

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

27455 S Dixie Hwy
Homestead, FL 33032
Phone (305) 245-3247

27455 S Dixie Hwy
Unit 1
Homestead, FL 33032
Phone (305) 245-3247

1000 NW 57th Ct
Ste 400
Miami, FL 33126

7200 NW 7th St
Ste 150
Miami, FL 33126
Phone (305) 264-6270

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

Organizations & group practices 6

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": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1841475951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27455 S DIXIE HWY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328231",
            "telephone_number": "305-245-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTA ENSENAT",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME109021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DEPT OF HEALTH",
            "identifier": "ME109021",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.