Willie Concepcion

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9110048 Issued in FL

Practice address

14150 SW 136TH St
Miami, FL 33186-5506

Phone

(786) 204-4600

NPI assigned

Aug 7, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, FL, UT, IL, IA, VA, NY, MT, SC9 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 9

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Topaz Bay Senior Health PCGroup PAC ID 2860906385, 30 clinicians

Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians

Chess Medicine PLLCGroup PAC ID 6406260736, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Topaz Bay Senior Health PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Hoboken, NJ
  • NPI 1194518134

  FL

  Medicare reassignment Care Compare group NPD
• Chess Medicine PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Montebello, NY
  • NPI 1699385021
  Medicare reassignment Care Compare group
• Tapestry Telehealth PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1992215446

  FL, IA, IL, MT, SC, UT, VA

  Medicare reassignment Care Compare group
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Physician Assistant, VA

  Medicare reassignment NPD
• Emergent Physicians of Country Walk, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1114497005
  Medicare reassignment
• Emergent Physicians of Doral, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1245909449
  Medicare reassignment
• Emergent Physicians of Miami Lakes, LLC

  • Emergency Medicine Physician
  • Miami Lakes, FL
  • NPI 1730901018
  Medicare reassignment
• Emergent Physicians of West Dade, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1275200537
  Medicare reassignment
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  Medicare reassignment
• Inphynet South Broward LLC

  • Emergency Medicine Physician
  • Hollywood, FL
  • NPI 1871521880
  Medicare reassignment
• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1871979294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 SW 136TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 SW 136TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865506",
            "telephone_number": "786-204-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "WILLIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorelys Concepcion
• Maria Teresa Concepcion, ARNP
• Mayra Michelle Concepcion
• Miguel Angel Concepcion
• Monique Marie Concepcion
• Yaidelis Concepcion
• Yanet Concepcion
• Yarisbel Concepcion, PMHNP
• Yeraldin Concepcion, ARNP
• Concept House, Inc.

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.