Individual provider Active NPI

Juan Carlos Londono, MD

  • Cardiovascular Disease Physician
  • Miami Beach, FL
National Provider Identifier
1871595645
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME77073 Issued in FL
Practice address
4300 Alton Road
Suite 2050
Miami Beach, FL 33140
Phone
(305) 531-6967
Fax
(305) 531-7622
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME77073 FL Primary

Addresses

Primary practice location

4300 Alton Road
Suite 2050
Miami Beach, FL 33140

Mailing address

P.O. Box 402647
Miami BCH., FL 33140
Phone (305) 531-6967

Other identifiers 1

IdentifierTypeStateIssuer
255679100MedicaidFL

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
I20100708000723 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular DiseasePractitioner - Vascular SurgeryPractitioner - Other (Physician)Practitioner - Interventional Cardiology 7810978525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology, Peripheral Vascular Disease, Vascular Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4300 Alton Rd
Miami, FL 33140-2948
Phone (305) 531-6967

815 NW 57TH Ave
Suite 100
Miami, FL 33126-2041
Phone (305) 261-0555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology on Call PA CurrentSince Jun 22, 2012 Accepting new patients
Beach Medical Associates Inc. Past Accepting new patients
Primary Care Physicians Group Past Accepting new patients

Locations

815 NW 57th Ave
Ste 100
Miami, FL 33126
Phone (305) 261-0555

4308 Alton Rd
Ste 780
Miami Beach, FL 33140
Phone (305) 531-6967

4300 Alton Rd
Ste 2050
Miami Beach, FL 33140
Phone (305) 531-6967

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1871595645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 402647",
            "city": "MIAMI BCH.",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "305-531-6967",
            "fax_number": "305-531-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON ROAD",
            "address_2": "SUITE 2050",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "305-531-6967",
            "fax_number": "305-531-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDONO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME77073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255679100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.